腹腔镜与宫腔镜治疗子宫肌瘤的临床疗效观察  

Clinical Observation on Laparoscopy and Hysteroscopy Surgery for the Treatment of Uterine Fibroids

作　　者：李爽 LI Shuang(Department of Obstetrics and Gynecology,Haicheng Central Hospital,Haicheng 114200,China)

机构地区：[1]海城市中医院妇产科,辽宁海城114200

出　　处：《中国医药指南》2020年第21期65-66,共2页Guide of China Medicine

摘　　要：目的探索腹腔镜手术与宫腔镜手术治疗子宫肌瘤的临床疗效。方法本次研究选取2016年4月至2018年5月在我院治疗子宫肌瘤回顾性分析了87例患者。子宫肌瘤患者被归类为宫腔镜手术组(实验组):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。比较两组患者的临床疗效以及术中出血量、手术所用时间、体温恢复正常所需时间、肛门排气时间、住院所需时间等指标。结果①经过治疗发现宫腔镜手术组患者总有效率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)。③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)。④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)。结论采用宫腔镜下手术治疗子宫肌瘤效果确切,对比临床疗效、术中出血量、手术所用时间、体温恢复正常所需时间、肛门排气时间等方面有明显的优势。Objective To explore the clinical effect of laparoscopy and hysteroscopy surgery for the treatment of uterine fibroids. Methods From April 2016 to May 2018, 87 patients with in uterine fibroids were retrospectively analyzed in our hospital. Patients were divided into hysteroscopy surgery group(experimental group): 44 patients were treated with hysteroscopic surgery;Laparoscopic surgery group(control group): 43 patients were treated with laparoscopic surgery. The clinical efficacy, the amount of intraoperative bleeding, the time spent in operation, the time required for returning to normal temperature, the time of anus exhaust, and the time required for hospitalization were compared between the two groups. Results ①After the treatment, the total efficiency in hysteroscopy group was superior than that of surgery group P<0.05. ②After the treatment, the amount of intraoperative hemorrhage and the operation time in the hysteroscopy surgery group were superior than those of laparoscopy surgery group P<0.05. ③After the treatment, the time of normal body temperature recovery and the time of anus exhaust were superior than those of laparoscopy surgery group P<0.05. ④After the treatment, the time of hospitalization and the ability of taking care of themselves were superior than those of laparoscopy surgery group P<0.05. Conclusion The effect of hysteroscopic surgery on uterine fibroids is accurate, and there are obvious advantages in clinical efficacy, amount of intraoperative bleeding, surgery time, time required for returning to normal temperature and anus exhaust time.

关 键 词：腹腔镜手术 宫腔镜手术 子宫肌瘤 临床疗效 

分 类 号：R737.33[医药卫生—肿瘤]