腹腔镜子宫肌瘤剔除术治疗子宫肌瘤的临床效果及对应激反应的影响分析  

Analysis of the clinical effect of laparoscopic myomectomy in the treatment of hysteromyoma and its influence on stress response

作　　者：李咏梅 LI Yong-mei(Department of Obstetrics and Gynecology,Zhongxian County People's Hospital,Chongqing 404300,China)

机构地区：[1]重庆市忠县人民医院妇产科,404300

出　　处：《中国实用医药》2021年第12期46-48,共3页China Practical Medicine

摘　　要：目的分析腹腔镜子宫肌瘤剔除术治疗子宫肌瘤的临床效果及对应激反应的影响。方法100例子宫肌瘤患者,采用随机数字表法分为对照组和观察组,每组50例。对照组患者采用常规开腹手术,观察组采用腹腔镜子宫肌瘤剔除术。比较两组术中出血量、肠道恢复排气时间和住院时间,治疗前后应激反应指标(血清皮质醇、去甲肾上腺素、肾上腺素),术后并发症发生情况。结果观察组术中出血量(62.21±11.28)ml、肠道恢复排气时间(16.45±1.21)h和住院时间(8.41±2.25)d均优于对照组的(121.21±22.01)ml、(19.21±2.12)h、(11.44±3.01)d,差异具有统计学意义(P<0.05)。治疗后,两组血清皮质醇、去甲肾上腺素、肾上腺素均较治疗前升高,但观察组血清皮质醇、去甲肾上腺素、肾上腺素水平均显著低于对照组,差异具有统计学意义(P<0.05)。观察组术后并发症发生率2.00%低于对照组的16.00%,差异具有统计学意义(P<0.05)。结论腹腔镜子宫肌瘤剔除术与开腹手术治疗子宫肌瘤的临床效果比照中,腹腔镜子宫肌瘤剔除术效果更好,应激反应更轻,带来的并发症更少,恢复更快,值得临床推广和应用。Objective To analyze the clinical effect of laparoscopic myomectomy in the treatment of hysteromyoma and its influence on stress response. Methods A total of 100 hysteromyoma patients were divided into control group and observation group according to random numerical table, with 50 cases in each group. The control group was treated with conventional open surgery, and the observation group was treated with laparoscopic myomectomy. The intraoperative blood loss, intestinal exhaust recovery time, hospitalization time, stress response indicators(serum cortisol, norepinephrine, epinephrine) before and after treatment, and occurrence of postoperative complications were compared between the two groups. Results The intraoperative blood loss(62.21±11.28) ml, intestinal exhaust recovery time(16.45±1.21) h and hospitalization time(8.41±2.25) d of the observation group were better than(121.21±22.01) ml,(19.21±2.12) h and(11.44±3.01) d of the control group, and the difference was statistically significant(P<0.05). After treatment, the serum cortisol, norepinephrine and epinephrine of the two groups were higher than those before treatment, but the observation group was significantly lower than the control group. All the difference was statistically significant(P<0.05). The incidence of postoperative complications 2.00% of the observation group was lower than 16.00% of the control group, and the difference was statistically significant(P<0.05). Conclusion Compared with open surgery, laparoscopic myomectomy shows better effect, lighter stress reaction, fewer complications and faster recovery. It is worthy of clinical promotion and application.

关 键 词：腹腔镜子宫肌瘤剔除术 子宫肌瘤 临床效果 应激反应 影响 

分 类 号：R737.33[医药卫生—肿瘤]