腹腔镜下子宫肌瘤剔除术与腹式子宫肌瘤剔除术治疗子宫肌瘤的效果和安全  

Efficacy and safety of laparoscopic myomectomy and abdominal myomectomy in the treatment of hysteromyoma

作　　者：张仁茹 ZHANG Renru(Obstetrics and Gynecology Department of Shangli County People’s Hospital,Pingxiang City,Jiangxi Province 337009,China)

机构地区：[1]江西省萍乡市上栗县人民医院妇产科,萍乡337009

出　　处：《上海医药》2021年第18期20-23,共4页Shanghai Medical & Pharmaceutical Journal

摘　　要：目的:比较腹腔镜下子宫肌瘤剔除术与腹式子宫肌瘤剔除术治疗子宫肌瘤的效果和安全性。方法:选择2017年1月—2019年12月在江西省萍乡市上栗县人民医院妇产科行手术治疗的子宫肌瘤患者58例,其中行腹腔镜下子宫肌瘤剔除术者29例为观察组,行腹式子宫肌瘤剔除术者29例为对照组。采用视觉模拟评分法评价术后疼痛评分,比较两组患者的手术情况、术后情况、术后切口愈合情况及时间、术后并发症、卵巢功能指标、炎症相关指标以及医疗费用。结果:观察组手术时间、术中出血量、术后排气时间、术后住院时间均低于对照组(P<0.05),术后切口愈合优于对照组(P<0.05),术后并发症总发生率低于对照组(P<0.05)。观察组术后疼痛评分低于手术前及对照组(P<0.05),雌二醇水平、卵泡刺激素水平、黄体生成素水平均高于对照组(P<0.05),C反应蛋白(CRP)、白细胞、中性粒细胞水平均低于对照组(P<0.05)。观察组总费用与对照组间差异无统计学意义(P>0.05)。结论:腹腔镜下子宫肌瘤剔除术手术时间短、创伤小、术后恢复快、并发症少,而且患者的疼痛情况、卵巢功能、炎症水平等均可以获得较好的改善,不增加总治疗费用,因此,可作为治疗子宫肌瘤的优选术式。Objective:To compare the efficacy and safety of laparoscopic myomectomy and abdominal myomectomy in the treatment of hysteromyoma.Methods:Fifty-eight patients with hysteromyoma who underwent surgical treatment in the Department of Obstetrics and Gynecology,Shangli County People’s Hospital,Pingxiang City,Jiangxi Province from January 2017 to December 2019 were selected,and among them,29 cases underwent laparoscopic myomectomy in the observation group and 29 cases underwent abdominal myomectomy in the control group.The visual analogue scoring method was used to evaluate the postoperative pain score,and the surgical status,postoperative status,postoperative incision healing and time,postoperative complications,ovarian function indicators,inflammation-related indicators and medical expenses were compared between the two groups.Results:The operation time,intraoperative blood loss,postoperative exhaust time and postoperative hospital stay of the observation group were lower than those of the control group(P<0.05),the postoperative wound healing of the observation group was better than that of the control group(P<0.05),and the total incidence of postoperative complications of the observation group was lower than that of the control group(P<0.05).The postoperative pain score of the observation group was lower than that of the control group(P<0.05),the levels of estradiol,follicle stimulating hormone and luteinizing hormone of the treatment group were higher than those of the control group(P<0.05),and the levels of CRP,leukocytes and neutrophils of the treatment group were lower than those of the control group(P<0.05).There was no significant difference in the total cost between the observation group and the control group(P>0.05).Conclusion:Laparoscopic myomectomy has the advantages of shorter operation timeless trauma,faster postoperative recovery and fewer complications,moreover,the pain,ovarian function and inflammation of the patients can be improved without increasing the total cost of treatment,and therefore,it ca

关 键 词：子宫肌瘤 腹腔镜下子宫肌瘤剔除术 腹式子宫肌瘤剔除术 并发症 

分 类 号：R737.3[医药卫生—肿瘤]