腹腔镜子宫肌瘤剔除术治疗子宫肌瘤的疗效观察  

Therapeutic Effect of Laparoscopic Myomectomy for Uterine Fibroids

作　　者：孙琴 涂美玲 SUN Qin;TU Meiling(Department of Obstetrics and Gynecology,Second People's Hospital of Gong'an County,Jingzhou 434318,China)

机构地区：[1]湖北省荆州市公安县二人民医院妇产科,湖北荆州434318

出　　处：《中国医药指南》2021年第26期32-34,共3页Guide of China Medicine

摘　　要：目的讨论子宫肌瘤患者接受腹腔镜下子宫肌瘤剔除术治疗的价值意义,以寻求子宫肌瘤临床最佳治疗方法。方法将我院妇科在2016年9月至2018年12月收治98例子宫肌瘤患者,按照手术类型不同分组,各49例,对照组施以传统开腹手术,研究组施以腹腔镜子宫肌瘤剔除术。观察并比较临床疗效。结果研究组治疗总有效率(97.96%)高于对照组(81.63%),P<0.05。研究组住院时间、下床活动时间、肛门排气时间、术中出血量、手术时间等手术指标优于对照组,P<0.05。研究组并发症率(2.04%)低于对照组(16.33%),P<0.05。研究组随访半年后肌瘤复发率(2.04%)低于对照组(6.12%),但组间比较差异无显著性,P>0.05。结论子宫肌瘤患者接受腹腔镜下子宫肌瘤剔除术治疗效果安全可靠,值得临床应用推广。Objective To discuss the value of laparoscopic myomectomy in patients with uterine fibroids,in order to seek the best clinical treatment of uterine fibroids.Methods In the gynecology department of our hospital,98 patients with uterine fibroids were treated between September 2016 and December 2018.According to the type of surgery,49 patients were divided into groups,and the control group(with traditional open surgery)and the study group were administered.Clinical efficacy of laparoscopic myomectomy.Results The total effective rate of treatment in the study group(97.96%)was higher than that in the control group(81.63%),P<0.05.The surgical index of the study group,hospitalization time,anal exhaust time,intraoperative blood loss,and operation time were better than the control group,P<0.05.The complication rate of the study group(2.04%)was lower than that of the control group(16.33%),P<0.05.The recurrence rate of fibroids(2.04%)was lower in the study group than in the control group(6.12%),but there is no significant difference between the groups,P>0.05.Conclusion The treatment of uterine fibroids with laparoscopic myomectomy is safe and reliable,and it is worthy of clinical application.

关 键 词：子宫肌瘤 腹腔镜剔除术 临床疗效 

分 类 号：R737.33[医药卫生—肿瘤]