腹腔镜子宫肌瘤剔除术与开腹子宫肌瘤剔除术治疗子宫肌瘤的效果观察  

Observation on the effect of laparoscopic myomectomy and open myomectomy in the treatment of uterine fibroids

作　　者：姜苏娟 JIANG Su-juan(Department of Obstetrics and Gynecology,Affiliated Zhongshan Hospital of Dalian University,Dalian 116001,China)

机构地区：[1]大连大学附属中山医院妇产科,116001

出　　处：《中国实用医药》2021年第26期57-59,共3页China Practical Medicine

摘　　要：目的观察腹腔镜子宫肌瘤剔除术与开腹子宫肌瘤术治疗子宫肌瘤的临床效果。方法80例子宫肌瘤患者,按照患者治疗方式不同分为实验组与对照组,各40例。实验组实施腹腔镜子宫肌瘤剔除术,对照组实施传统开腹子宫肌瘤剔除术。对比两组术后经期时间、血红蛋白水平、手术指标、术后复发率。结果实验组术后经期时间(5.24±1.26)d短于对照组的(9.36±3.32)d,血红蛋白水平(124.25±2.69)g/L高于对照组的(84.25±2.25)g/L,差异有统计学意义(P<0.05)。实验组手术时间(61.25±2.36)min、住院时间(5.69±1.25)d短于对照组的(75.36±3.36)min、(8.25±1.15)d,术中出血量(65.32±1.96)ml少于对照组的(92.36±3.32)ml,差异有统计学意义(P<0.05)。实验组术后复发率为2.50%,低于对照组的17.50%,差异有统计学意义(P<0.05)。结论在子宫肌瘤患者治疗过程中,为患者实施腹腔镜子宫肌瘤剔除术的价值要明显好于传统开腹子宫肌瘤剔除术,患者术后的预后管理效果较好,相关的指标控制效果明显,所以可推广到临床。Objective To observe the clinical effect of laparoscopic myomectomy and open myomectomy in the treatment of uterine fibroids.Methods A total of 80 patients with uterine fibroids were divided into experimental group and control group according to different treatment methods,with 40 cases in each group.The experimental group was treated with laparoscopic myomectomy,and the control group was treated with open myomectomy.The postoperative menstrual time,hemoglobin level,surgical indicators,and postoperative recurrence rate were compared between the two groups.Results The postoperative menstrual time(5.24±1.26)d in the experimental group was shorter than(9.36±3.32)d in the control group,and the hemoglobin level(124.25±2.69)g/L was higher than(84.25±2.25)g/L in the control group.All the differences were statistically significant(P<0.05).The operation time and hospitalization time of the experimental group were(61.25±2.36)min and(5.69±1.25)d,which were shorter than(75.36±3.36)min and(8.25±1.15)d of the control group,and the intraoperative blood loss(65.32±1.96)ml was less than(92.36±3.32)ml of the control group.All the difference was statistically significant(P<0.05).The postoperative recurrence rate of the experimental group was 2.50%,which was lower than 17.50%of the control group,and the difference was statistically significant(P<0.05).Conclusion Laparoscopic myomectomy has higher value and better prognosis management effect for patients with uterine fibroids than that of traditional open myomectomy,and it can effectively control effect of related indicators,which is worthy of clinical promotion.

关 键 词：腹腔镜子宫肌瘤剔除术 子宫肌瘤治疗 效果观察 

分 类 号：R737.33[医药卫生—肿瘤]