腹腔镜子宫肌瘤剔除术与经腹子宫肌瘤剔除术治疗子宫肌瘤的临床效果比较  

Comparison of clinical effects of laparoscopic myomectomy and transabdominal uterine fibroids removal for uterine fibroids

作　　者：吴龙剑 Wu Longjian(Nanchang Third People's Hospital,Nanchang,Jiangxi,330000,China)

机构地区：[1]南昌市第三人民医院

出　　处：《当代医学》2019年第34期37-39,共3页Contemporary Medicine

摘　　要：目的比较腹腔镜子宫肌瘤剔除术与经腹子宫肌瘤剔除术治疗子宫肌瘤临床效果。方法选取2017年3月至2018年3月本院收治的子宫肌瘤患者71例为研究对象,采用奇偶法分为观察组(n=36)和对照组(n=35)。对照组行经腹子宫肌瘤剔除术,观察组接受腹腔镜子宫肌瘤剔除术,比较临床效果。结果观察组患者胃肠功能恢复时间、下床活动时间、住院时间均短于对照组,观察组患者无粘连、轻度粘连比率高于对照组,中度粘连、重度粘连比率低于对照组,差异均具有统计学意义(P<0.05);两组患者残留率、复发率对比差异无统计学意义。结论与经腹子宫肌瘤剔除术对比,腹腔镜子宫肌瘤剔除术治疗子宫肌瘤可有效提升术后恢复速度,减少粘连发生率,效果更优。Objective To compare the clinical effects of laparoscopic myomectomy and transabdominal uterine fibroids removal for uterine fibroids. Methods 71 patients with uterine fibroids who underwent surgery in our department from March 2017 to March 2018 were divided into observation group(n=36) and control group(n=35). The control group received transabdominal uterine muscles. Tumor removal, the observation group received laparoscopic myomectomy, and the clinical effect was compared. Results In the observation group, the recovery time of gastrointestinal function, the time of getting out of bed, and the hospitalization time were lower than those of the control group, the non-adhesive and mild adhesion ratios of the observation group were higher than those of the control group, the ratio of moderate adhesion and severe adhesion was lower than that of the control group, and the difference was statistically significant(P<0.05). There was no statistical difference in the residual rate and recurrence rate between the two groups. Conclusion Compared with transabdominal uterine fibroids removal, laparoscopic myomectomy can effectively improve the recovery rate, reduce the probability of adhesion and the value is better.

关 键 词：腹腔镜子宫肌瘤剔除术 经腹子宫肌瘤剔除术 子宫肌瘤 

分 类 号：R73[医药卫生—肿瘤]