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 Uterine Fibroids

作　　者：敖敦高娃 Aodungaowa(Dalian Hospital,Shengjing Hospital,China Medical University,Dalian 116600,China)

机构地区：[1]中国医科大学附属盛京医院大连医院,辽宁大连116600

出　　处：《中国医药指南》2021年第32期55-57,共3页Guide of China Medicine

摘　　要：目的分析腹腔镜子宫肌瘤剔除术治疗子宫肌瘤的临床效果。方法选取我院2017年1月至2019年1月收治的140例子宫肌瘤患者,随机分为观察组和对照组,每组70例。对照组行开腹子宫肌瘤剔除术治疗,观察组行腹腔镜子宫肌瘤剔除术治疗,对比两组术后并发症发生率、住院时间、初次下床活动时间、术中出血量。结果观察组术后并发症发生率为14.29%(10/70),对照组为27.14%(19/70),两组差异具有统计学意义(χ^(2)=10.338,P<0.05)。观察组患者住院时间(3.70±1.20)d,初次下床活动时间(12.30±3.10)h,术中出血量(59.10±11.40)mL。对照组患者住院时间(5.40±1.30)d,初次下床活动时间(18.40±3.30)h,术中出血量(93.20±17.60)mL。两组对比,差异具有统计学意义(t=8.115、12.267、13.082,P<0.05)。观察组患者术后经期时间和血红蛋白水平为(5.23±1.25)d、(124.24±2.68)g/L,对照组患者术后经期时间和血红蛋白水平为(9.35±3.31)d、(84.23±2.26)g/L,观察组经期时间短于对照组,血红蛋白水平高于对照组,差异显著(t=9.742、95.486,P<0.05)。结论腹腔镜子宫肌瘤剔除术治疗子宫肌瘤的临床效果理想,患者恢复较快,能够有效减少患者术中出血量,缩短住院时间,术后并发症发生率也较低,患者在出院后,经期时间和血红蛋白水平有明显改善。Objective To analyze the clinical effect of laparoscopic myomectomy in the treatment of uterine fibroids.Methods A total of 140 patients with uterine fibroids admitted to our hospital from January 2017 to January 2019 were selected and randomly divided into observation group and control group,with 70 cases in each group.The control group was treated with open myomectomy,and the observation group was treated with laparoscopic myomectomy.The incidence of postoperative complications,hospital stay,time of first getting out of bed,and intraoperative blood loss were compared between the two groups.Results The postoperative complication rate was 14.29%(10/70)in the observation group and 27.14%(19/70)in the control group.The difference between the two groups was statistically significant(χ^(2)=10.338,P<0.05).In the observation group,the hospitalization time was(3.70±1.20)days,the first time to get out of bed was(12.30±3.10)hours,and the intraoperative blood loss was(59.10±11.40)mL.In the control group,the hospitalization time was(5.40±1.30)days,the first getting out of bed time was(18.40±3.30)hours,and the intraoperative blood loss was(93.20±17.60)mL.The difference between the two groups was statistically significant(t=8.115,12.267,13.082,P<0.05).The postoperative menstrual time and hemoglobin level of the observation group were(5.23±1.25)days,(124.24±2.68)g/L,and the postoperative menstrual time and hemoglobin level of the control group were(9.35±3.31)days,(84.23±2.26)g/L,the menstrual time of the observation group was lower than that of the control group,and the hemoglobin level was higher than that of the control group,the difference was significant(t=9.742,95.486,P<0.05).Conclusion The clinical effect of laparoscopic myomectomy for the treatment of uterine fibroids is ideal.The patient recovers quickly.It can effectively reduce the amount of intraoperative blood loss and shorten the hospital stay.The incidence of postoperative complications is also low.The patients are discharged from the hospital.,Menstru

关 键 词：腹腔镜 子宫肌瘤剔除术 术中出血量 住院时间 

分 类 号：R737.33[医药卫生—肿瘤] R616.2[医药卫生—临床医学]