腹腔镜手术与经阴道手术治疗子宫肌瘤的临床效果比较  

Clinical effect comparison of laparoscopic surgery and transvaginal surgery in the treatment of uterine leiomyoma

作　　者：尤佳 YOU Jia(Department of Obstetrics and Gynecology,Huludao Lianshan People′s Hospital,Liaoning Province,Huludao125001,China)

机构地区：[1]辽宁省葫芦岛市连山区人民医院妇产科,辽宁葫芦岛125001

出　　处：《中国当代医药》2021年第11期131-134,共4页China Modern Medicine

摘　　要：目的探讨腹腔镜手术与经阴道手术治疗子宫肌瘤的临床效果。方法选取2018年2月~2020年2月辽宁省葫芦岛市连山区人民医院收治的94例子宫肌瘤患者,根据手术方法不同分为腹腔镜组和经阴道组,每组各47例。腹腔镜组接受腹腔镜手术,经阴道组接受经阴道手术。比较两组手术情况、术后恢复情况、术后卵巢功能、性生活指标及并发症的发生情况。结果腹腔镜组手术时间、首次下地时间、胃功能恢复时间及住院时间均短于经阴道组,术中出血量少于经阴道组,差异有统计学意义(P<0.05)。治疗后两组患者促卵泡成熟素、黄体生成激素及性生活各项指标水平均高于治疗前,雌二醇、窦卵泡计数水平均低于治疗前,差异均有统计学意义(P<0.05)。腹腔镜组并发症总发生率为2.13%,经阴道组并发症总发生率为14.89%,腹腔镜组并发症总发生率低于经阴道组,差异有统计学意义(P<0.05)。结论相较于经阴道手术,应用腹腔镜手术治疗子宫肌瘤临床效果更显著,安全性更高。Objective To explore the clinical effect of laparoscopic surgery and transvaginal surgery in the treatment of uterine leiomyoma.Methods A total of 94 patients with uterine leiomyoma admitted to Huludao Lianshan People′s Hospital of Liaoning Province from February 2018 to February 2020 were enrolled,they were divided into laparoscopic group and transvaginal group according to the surgical method,47 cases in each group.Laparoscopic group received laparoscopic surgery,transvaginal group received transvaginal surgery.The operation status,postoperative recovery status,postoperative ovarian function,sexual life indicators and the occurrence of complications were compared between the two groups.Results The operation time,the first time to go to the ground,the recovery time of gastric function and hospitalization time in the laparoscopic group were shorter than those in the transvaginal group,and the intraoperative blood loss was less than that in the transvaginal group,the differences were statistically significant(P<0.05).Compared with before treatment,the levels of follicle-stimulating hormone,luteinizing hormone and sexual life in the two groups were higher than those at before treatment,E2 and AFC levels were lower than those at before treatment,the differences were statistically significant(P<0.05).The total complication rate of laparoscopic group was 2.13%,the total complication rate of transvaginal group was 14.89%,the total complication rate of the laparoscopic group was lower than that of the transvaginal group,the difference was statistically significant(P<0.05).Conclusion Laparoscopic surgery is more effective and safe in the treatment of uterine leiomyoma than transvaginal surgery.

关 键 词：腹腔镜手术 经阴道手术 子宫肌瘤 临床疗效 

分 类 号：R713[医药卫生—妇产科学]