腹腔镜下根治性子宫肌瘤剔除术术式特点及临床疗效观察  

The characteristics and clinical effect of laparoscopic radical hysteromyomectomy

作　　者：李伟伟[1] 熊妃 许芳 LIWeiwei;XIONG Fei;XU Fang(Department of Obstetrics and Gynecology,First People's Hospital of Fuzhou,Fuzhou,Jiangxi,344000,China)

机构地区：[1]抚州市第一人民医院妇产科,江西抚州344000

出　　处：《当代医学》2021年第24期86-88,共3页Contemporary Medicine

摘　　要：目的探讨腹腔镜下根治性子宫肌瘤剔除术术式特点及临床疗效。方法选取2018年6月至2019年9月本院收治的84例子宫肌瘤患者,根据治疗方法不同分为对照组和实验组,每组42例。对照组接受经腹子宫肌瘤剔除术治疗,实验组接受腹腔镜下根治性子宫肌瘤剔除术治疗。比较两组临床疗效、围术期指标及生活质量。结果实验组治疗总有效率高于对照组,手术时间短于对照组,术后出血量和复发率均低于对照组,术后心理、生理评分均高于对照组,差异有统计学意义(P<0.05)。结论腹腔镜下根治性子宫肌瘤剔除术具有手术时间短、出血量少和复发率低的特点,疗效显著,可有效提升患者生活质量,对于有保留子宫意愿且具有医学手术指征但无生育要求的多发性子宫肌瘤患者,建议采用腹腔镜下根治性子宫肌瘤剔除术治疗。Objective To investigate the characteristics of laparoscopic radical hysteromyomectomy and its clinical effect.Methods 84 patients with uterine fibroids admitted to our hospital from June 2018 to September 2019 were selected and they were divide into control group and experi-mental group according to different treatment methods,with 42 cases in each group.The control group received transabdominal myomectomy,and the experimental group received laparoscopic radical hysteromyomectomy.The clinical effect,perioperative indicators and quality of life between the two groups were compared.Results The total effective rate of treatment in the experimental group was higher than that of the control group,the op-eration time was shorter than that of the control group,the postoperative blood loss and postoperative recurrence rate were lower than those of the control group,and the postoperative psychological and physiological scores were higher than those of the control group,the difference was statistical-ly significant(P<0.05).Conclusion Laparoscopic radical hysteromyomectomy has the characteristics of short operation time,less bleeding and low recurrence rate.It has significant effect and can effectively improve the quality of life of patients.It is suggested that laparoscopic radical myo-mectomy should be used in the treatment of multiple uterine leiomyoma patients who have strong requirements to keep the uterus and have indica-tions for medical operation but have no requirements for fertility.

关 键 词：子宫肌瘤剔除术 子宫肌瘤 根治性切除 复发 

分 类 号：R737.33[医药卫生—肿瘤]