腹腔镜下子宫肌瘤剥除术与开腹子宫肌瘤剥除术疗效对比  

The efficacy of laparoscopic myomectomy was compared with that of open myomectomy

作　　者：刘萍 Liu Ping(Department of Obstetrics and Gynecology,Integrated Traditional Chinese andWestern Medicine Hospital,Wujiang District,Suzhou,Jiangsu Suzhou 215200,China)

机构地区：[1]苏州市吴江区中西医结合医院妇产科,江苏苏州215200

出　　处：《临床医药文献电子杂志》2018年第102期19-20,共2页Electronic Journal of Clinical Medical Literature

摘　　要：目的比较腹腔镜下子宫肌瘤剥除术与开腹子宫肌瘤剥除术的疗效。方法将在笔者医院治疗的50例子宫肌瘤患者列为研究对象,将所有患者随机分为25例对照组和25例观察组,行开腹子宫肌瘤剥除术治疗的为对照组,观察组行腹腔镜下子宫肌瘤剥除术治疗,对比两组治疗效果。结果两组手术时间、出血量及预后指标比较,观察组明显优于对照组,且观察组并发症发生率为8%,明显低于对照组32%,(P<0.05)有统计学意义;此外,两组残留率和复发率相比有差异性,(P>0.05)无统计学意义。结论腹腔镜下子宫肌瘤剥除术与开腹子宫肌瘤剥除术治疗子宫肌瘤都有较好的效果,但两者相比前者治疗效果更明显,可以改善预后指标和降低并发症的发生。Objective To compare the efficacy of laparoscopic myomectomy and laparoscopic myomectomy. Methods 50 patients with uterine fibroids treated in the author's hospital were included in the study. All patients were randomly divided into 25 control groups and 25 observation groups.Those who underwent open uterine fibrotomy were treated as the control group. Results the operation time,blood loss and prognostic indexes of the two groups were compared, and the observation group was significantly better than the control group, and the incidence of complications in the observation group was 8%,significantly lower than the control group 32%,( P <0.05) with statistical significance. In addition, there was a difference in residual rate and recurrence rate between the two groups ( P >0.05) without statistical significance. Conclusion laparoscopic hysteromyomectomy and open hysteromyomectomy have better effects on the treatment of uterine fibroids,but the former is more effective than the former, which can improve the prognosis indicators and reduce the incidence of complications.

关 键 词：子宫肌瘤 腹腔镜下子宫肌瘤剥除术 开腹子宫肌瘤剥除术 

分 类 号：R737.33[医药卫生—肿瘤]