腹腔镜子宫肌瘤剔除术治疗子宫肌瘤的临床效果  

Clinical effect of laparoscopic myomectomy in the treatment of hysteromyoma

作　　者：谢莉航 XIE Li-hang(Fengcheng Central Hospital,Fengcheng 118100,China)

机构地区：[1]凤城市中心医院,118100

出　　处：《中国现代药物应用》2021年第20期53-55,共3页Chinese Journal of Modern Drug Application

摘　　要：目的论腹腔镜子宫肌瘤剔除术治疗子宫肌瘤的效果。方法92例子宫肌瘤患者,通过抽签法分为观察组与对照组,各46例。观察组通过腹腔镜手术方案治疗,对照组通过传统开腹手术方案治疗。比较两组并发症发生情况及卵巢功能[黄体生成素(LH)、促卵泡生成素(FSH)、窦状卵泡数(AFC)]。结果观察组的并发症发生率为4.35%,低于对照组的17.39%,差异有统计学意义(P<0.05)。观察组LH、FSH水平分别为(17.85±3.52)、(18.78±3.51)U/L,低于对照组的(22.26±2.94)、(23.65±2.31)U/L;AFC(8.03±2.22)个多于对照组的(7.02±1.52)个,差异均有统计学意义(P<0.05)。结论通过经腹腔镜子宫肌瘤剔除术治疗子宫肌瘤可以有效降低并发症对患者的影响,促进患者卵巢功能的改善,值得推荐。Objective To discuss the effect of laparoscopic myomectomy in the treatment of hysteromyoma.Methods A total of 92 patients with hysteromyoma were divided into observation group and control group by lottery method,with 46 cases in each group.The observation group was treated by laparoscopic surgery,and the control group was treated by traditional laparotomy.Both groups were compared in terms of complications,ovarian function[luteinizing hormone(LH),follicle stimulating hormone(FSH),antral follicular count(AFC)].Results The complication rate in the observation group was 4.35%,which was lower than 17.39%in the control group,and the difference was statistically significant(P<0.05).The levels of LH and FSH in the observation group were(17.85±3.52)and(18.78±3.51)U/L,respectively,which were lower than(22.26±2.94)and(23.65±2.31)U/L in the control group;AFC(8.03±2.22)follicles in the observation group was more than(7.02±1.52)follicles in the control group;all the difference was statistically significant(P<0.05).Conclusion Laparoscopic myomectomy can effectively reduce the impact of complications on patients with hysteromyoma and promote the improvement of ovarian function,which is worthy of recommendation.

关 键 词：腹腔镜 子宫肌瘤 开腹手术 并发症 卵巢功能 

分 类 号：R737.33[医药卫生—肿瘤]