腹腔镜较传统开腹子宫肌瘤剔除术治疗子宫肌瘤的临床效果及安全性分析  

Effect of Laparoscopy on the Clinical Treatment and Safety of Uterine Fibroids Treated with Traditional Open Uterine Myomectomy

作　　者：曲首辉[1] 鲍志敏[1] 刘荣欣[1] QU Shouhui;BAO Zhimin;LIU Rongxin(Zhengzhou No.1 People's Hospital,Zhengzhou,450003)

机构地区：[1]河南省郑州市第一人民医院,450003

出　　处：《实用癌症杂志》2018年第11期1816-1818,共3页The Practical Journal of Cancer

摘　　要：目的探讨腹腔镜较传统开腹子宫肌瘤剔除术治疗子宫肌瘤的临床效果及安全性。方法选取行子宫肌瘤剔除术的患者86例,按照手术治疗方案不同分为传统开腹组(n=45)和腹腔镜组(n=41),比较2组患者手术时长、术中出血量、术后住院时间等手术评价指标,并通过观察2组患者术后并发症发生率判断2种手术治疗方案的安全性。结果 2组患者手术时长、肌瘤剔除个数、剔除肌瘤直径、肌瘤残留率相比,差异均无统计学意义(P> 0. 05);而腹腔镜组患者的术中出血量、术后住院时间、术后排气时间(63. 42±23. 22 m L、5. 89±1. 24 d、14. 23±4. 78 h)均明显优于传统开腹组的(109. 24±31. 85 m L、14. 87±5. 45 d、25. 33±6. 11 h)(P <0. 05),腹腔镜组患者术后并发症发生率(7. 32%)明显低于传统开腹组的(24. 44%)(P <0. 05)。结论腹腔镜下行子宫肌瘤剔除术与传统开腹手术方案的临床疗效相当,但前者创伤性更小,术后恢复快、并发症发生率低,更易为患者接受。Objective To investigate and compare the efficacy and safety of laparoscopic cholecystectomy with uterine leiomyoma in the treatment of uterine fibroids.Methods A retrospective analysis was made on the data of 86 patients diagnosed as uterine fibroids with myomectomy.All patients were divided into the traditional open group(n=45)and laparoscopic group(n=41)according to the different surgical regimen.To compare the 2 groups of patients with surgical duration,intraoperative blood loss,postoperative hospital stay and other surgical efficacy evaluation indicators,and by observing the incidence of postoperative complications of the 2 groups to determine the safety of the 2 surgical treatment program.Results There were no significant differences in the length of operation,the number of myoma ablation,the diameter of fibroids and the residual rate of fibroids in the 2 groups(P>0.05).The laparoscopic group of patients(63.42±23.22 mL、5.89±1.24 d、14.23±4.78 h)with intraoperative blood loss,postoperative hospital stay,postoperative exhaust time were significantly better than the traditional open group(109.24±31.85 mL、14.87±5.45 d、25.33±6.11 h)(P<0.05);The incidence of postoperative complications in the laparoscopic group was significantly lower than that in the traditional laparotomy group(P<0.05).Conclusion Laparoscopic myomectomy with traditional laparotomy is similar to that of traditional laparotomy.However,the former is less invasive,and it has the advantages of quick recovery after operation and low incidence of complications.

关 键 词：腹腔镜 开腹手术 子宫肌瘤 术后并发症 临床疗效 

分 类 号：R737.33[医药卫生—肿瘤]