腹腔镜手术对比宫腔镜手术治疗较大Ⅱ型黏膜下肌瘤的临床效果  

Clinical Effect of Laparoscopic Surgery Versus Hysteroscopic Surgery on Large Submucosal Fibroids of Type Ⅱ

作　　者：吴丹 WU Dan(Department of Obstetrics and Gynecology,Shenyang Economic and Technological Development Zone Peopleʼs Hospital,Liaoning Shenyang 110000)

机构地区：[1]沈阳经济技术开发区人民医院妇产科

出　　处：《中国医疗器械信息》2020年第3期112-113,136,共3页China Medical Device Information

摘　　要：目的:探索腹腔镜手术与宫腔镜手术治疗较大Ⅱ型黏膜下肌瘤的临床疗效。方法:选取2017年7月~2019年5月在本院治疗的较大Ⅱ型黏膜下肌瘤患者87例。患者被归类为宫腔镜手术组(观察组):44例患者采用宫腔镜手术方案治疗;腹腔镜手术组(对照组):43例患者采取腹腔镜手术方案治疗。分析组间相关指标变化意义。结果:①经过治疗发现宫腔镜手术组患者术中出血量和手术时间对比腹腔镜手术组具有明显优势,P<0.05;②经过治疗发现宫腔镜手术组体温恢复正常所用时间及肛门排气时间对比腹腔镜手术组具有明显优势,P<0.05;③经过治疗发现宫腔镜手术组治疗后以及住院时间及患者生活能够自理时间对比腹腔镜手术组具有明显优势,P<0.05。结论:采用宫腔镜手术的方法诊治较大Ⅱ型黏膜下肌瘤手术情况更好,术中出血量及住院时间等标准比采用腹腔镜手术组的方法理想,临床治疗效果更为突出。Objective:To explore the clinical efficacy of laparoscopic surgery and hysteroscopic surgery in treating large type II submucosal fibroids.Methods:This study retrospectively analyzed 87 patients with large type II submucosal fibroids treated in our hospital from July 2017 to May 2019.Patients were classified as a hysteroscopic surgery group(experimental group):44 patients were treated with a hysteroscopic surgery program;a laparoscopic surgery group(control group):43 patients were treated with a laparoscopic surgery program.Analyze the significance of changes in related indicators between groups.Results:(1)After treatment,it was found that the intraoperative blood loss and operation time of the patients in the hysteroscopic surgery group had obvious advantages compared with the laparoscopic surgery group(P<0.05).(2)After treatment,it was found that the time taken for the body temperature to return to normal in the hysteroscopic surgery group and the time of anal exhaustion had a significant advantage over the laparoscopic surgery group P<0.05.(3)After treatment,it was found that after treatment in the hysteroscopic surgery group,the length of hospital stay and the patient’s self-care time had a significant advantage over the laparoscopic surgery group,P<0.05.Conclusion:Hysteroscopy is a better method for diagnosing and treating large type II submucosal fibroids.The intraoperative blood loss and length of hospital stay are better than those of the laparoscopic group,and the clinical treatment effect is more prominent.

关 键 词：腹腔镜手术 宫腔镜手术 较大Ⅱ型黏膜下肌瘤 

分 类 号：R737.33[医药卫生—肿瘤]