腹腔镜子宫肌瘤剔除手术与开腹子宫肌瘤剔除术的治疗效果对比  

Comparison of the Therapeutic Effect between Laparoscopic Myomectomy and Open Myomectomy

作　　者：蔡晓慧 CAI Xiaohui(Department of Obstetrics and Gynecology,Anshan Third Hospital,Anshan 114031,China)

机构地区：[1]鞍山市第三医院妇产科,辽宁鞍山114031

出　　处：《中国医药指南》2021年第14期106-107,共2页Guide of China Medicine

摘　　要：目的比较腹腔镜子宫肌瘤剔除术和开腹子宫肌瘤剔除手术的效果。方法随机将2017年9月至2018年9月我院收治的子宫肌瘤患者100例分为两组,每组50例。对照组行开腹手术,观察组运用腹腔镜手术,对比两组治疗效果。结果两组术前的各项指标比较无差异(P>0.05);观察组术后的E2水平高于对照组,且FSH水平低于对照组(P<0.05);与对照组比较,观察组的并发症发生率低,组间对比差异明显(P<0.05);两组的各项手术指标比较有统计学意义(P<0.05)。结论相比于开腹子宫肌瘤剔除手术,腹腔镜子宫肌瘤剔除术的治疗效果更显著,可显著缩短手术时间,减少术中出血量,减少对患者卵巢功能的影响,降低并发症发生率,促进患者术后恢复。Objective To analyze and compare the effect of laparoscopic myomectomy and open myomectomy.Methods A total of 100 patients with uterine fibroids treated in our hospital from September 2017 to September 2018 were randomly divided into two groups,50 cases in each group.Which the control group received open surgery,and the observation group received laparoscopic surgery,and the treatment effects of the two groups were compared.Results There was no difference in preoperative indexes between the two groups(P>0.05).The level of postoperative E2 in observation group was higher than that in control group,and the level of FSH was lower than that in control group(P<0.05).Compared with the control group,the incidence of complications in the observation group was lower,and the difference between groups was significant(P<0.05).There was statistical significance in the comparison of various surgery indicators between the two groups(P<0.05).Conclusion Compared with open surgery,laparoscopic hysteromyomectomy is more effective.It can shorten the operation time,reduce the amount of bleeding,reduce the influence on ovarian function,significantly reduce the incidence of complications,and promote the recovery of patients.

关 键 词：子宫肌瘤 腹腔镜 子宫肌瘤剔除术 开腹手术 卵巢功能 

分 类 号：R737.33[医药卫生—肿瘤] R711[医药卫生—临床医学]