子宫肌壁间肌瘤应用腹腔镜下肌瘤切除术的临床效果评价  

Clinical evaluation of laparoscopic myomectomy for intermyometrial fibroids

作　　者：沈亚琴[1] Shen Yaqin(Department of Obstetrics and Gynecology,Dongtai Hospital of Traditional Chinese Medicine,Yancheng 224200,China)

机构地区：[1]东台市中医院妇产科,江苏盐城224200

出　　处：《实用妇科内分泌电子杂志》2021年第5期13-15,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探究子宫肌壁间肌瘤应用腹腔镜下肌瘤切除术的临床效果。方法选择62例行子宫肌瘤切除术的子宫肌壁间肌瘤患者,采用随机排列法分为试验组与对照组,各31例。对照组行经腹子宫肌瘤切除术治疗,试验组行腹腔镜下子宫肌瘤切除术治疗,比较两组术中、术后相关指标、手术前后7 d疼痛情况及并发症发生情况。结果试验组手术时间、住院时间及肛门排气时间均明显短于对照组,出血量明显少于对照组,差异有统计学意义(P<0.05),两组最高体温指标比较差异无统计学意义(P>0.05)。术前7 d,两组患者疼痛评分比较,差异无统计学意义(P>0.05);术后7 d,两组疼痛评分明显低于术前7 d,且试验组疼痛评分为(1.95±0.65)分,明显低于对照组的(4.36±1.24)分,差异具有统计学意义(P<0.05)。试验组并发症发生率为3.23%,明显低于对照组的22.58%,差异有统计学意义(P<0.05)。结论子宫肌壁间肌瘤患者实施腹腔镜下肌瘤切除术治疗效果显著,可缩短手术及住院时间,减少出血量,患者疼痛感较低,并发症较少,应用价值显著。Objective To investigate the clinical effect of laparoscopic myomectomy for intramural fibroids of uterus.Methods Sixty-two patients with intramural myoma of uterus who underwent myomectomy were randomly divided into experimental group and control group(31 cases in each group).The control group was treated with transabdominal myomectomy,and the experimental group was treated with laparoscopic myomectomy.The intraoperative and postoperative related indexes,pain and complications at 7 d before and after surgery were compared between the two groups.Results The operative time,hospitalization time and anal exhaust time in the experimental group were signifi cantly shorter than those in the control group,and the amount of blood loss was signifi cantly less than that in the control group,the difference was statistically signifi cant(P<0.05).There was no statistically signifi cant difference in the maximum body temperature between the two groups(P>0.05).7 d before surgery,there was no signifi cant difference in pain scores between 2 groups(P>0.05);7 d after surgery,the pain score of both groups was signifi cantly lower than that before surgery 7 d,and the pain score of test group was(1.95±0.65)points,which was signifi cantly lower than that of control group(4.36±1.24)points,the difference was statistically signifi cant(P<0.05).The complication rate of the experimental group was 3.23%,which was significantly lower than that of the control group(22.58%),and the difference was statistically significant(P<0.05).Conclusion Laparoscopic myomectomy for patients with intramuscular myoma has a significant effect,which can shorten the operation and hospitalization time,reduce the amount of bleeding,lower pain and less complications,and has signifi cant application value.

关 键 词：子宫肌壁间肌瘤 腹腔镜下肌瘤切除术 临床疗效 

分 类 号：R737.33[医药卫生—肿瘤]