开腹、阴式以及腹腔镜三种手术方法治疗子宫肌瘤的效果比较研究  

Effect Comparative Study of Laparotomy, Vaginal Surgery and Laparoscopy in Treatment of Uterine Leiomyoma

作　　者：陈世杰[1] 刘霞[1] CHEN Shi-jie;LIU Xia(Shehong County People's Hospital,Shehong Sichuan 629200)

机构地区：[1]射洪县人民医院

出　　处：《智慧健康》2019年第27期98-100,共3页Smart Healthcare

摘　　要：目的对子宫肌瘤患者行开腹、阴式以及腹腔镜治疗的效果。方法纳入2015年2月至2018年9月来我院进行手术治疗的子宫肌瘤患者60例,按照入院号码进行均分3组,各20例。对A组行开腹手术治疗,对B组行阴式手术治疗,对C组行腹腔镜手术治疗。分析60例子宫肌瘤患者的各临床指标值、并发症发生率、血清C反应蛋白水平。结果与B组相比较,A组和C组的手术时间较长,与A组相比较,B组和C组的术中出血量、住院时间以及肛门排气时间、并发症发生率均较低,组间差异显著(P<0.05);治疗后与A组相比,B组和C组较低,差异性存在(P<0.05)。结论对子宫肌瘤患者而言,行腹腔镜手术和阴式手术治疗效果较优,其对患者机体造成较小的创伤性,且并发症较少。Objective to compare curative effect of laparotomy,vaginal and laparoscopic treatment for uterine leiomyoma.Methods include 60 cases uterine leiomyoma patients with surgical treatment in our hospital from February 2015 to September 2018,divide them into three groups according to admission number,20 cases in each group.Group A was treated with laparotomy,group B with vaginal surgery,and group C with laparoscopic surgery.Analyze clinical indicators,complications incidence and serum C-reactive protein levels of 60 cases uterine leiomyoma.Results compared with group B,group A and group C had longer operation time.Compared with group A,group B and group C had lower intraoperative bleeding volume,shorter hospitalization time,anal exhaust time and lower complications incidence,difference showed significance,(P<0.05).After treatment,compared with group A,above indexes of group B and group C were lower,difference showed significance,(P<0.05).Conclusion laparoscopic surgery and vaginal surgery has better effect for uterine leiomyoma patients,with less trauma and fewer complications.

关 键 词：开腹 阴式 腹腔镜 子宫肌瘤 

分 类 号：R73[医药卫生—肿瘤]