腹腔镜下辅助LAM对直径>10cm子宫浆膜下肌瘤患者的效果分析  

Analysis of the Effect of Laparoscopic Assisted Lam on Patients with Uterine Subserosal Myoma with Diameter>10cm

作　　者：肖冰冰 XIAO Bingbing(The People's Hospital of Jieshou,Anhui Jieshou 236500,China)

机构地区：[1]安徽省界首市人民医院,安徽界首236500

出　　处：《河北医学》2022年第1期91-97,共7页Hebei Medicine

基　　金：安徽省自然科学基金,(编号:2019FFC220)。

摘　　要：目的:分析腹腔镜下辅助下腹壁小切口子宫肌瘤剔除术(LAM)对直径>10cm子宫浆膜下肌瘤患者的效果。方法:选取2017年11月至2020年11月在我院就诊的直径>10cm子宫浆膜下肌瘤患者80例,按照随机数字表法分为常规组(39例)和观察组(41例)。常规组采用传统开腹方案进行治疗,观察组采用腹腔镜辅助下LAM方案进行治疗。检测两组患者在术前及术后1d、7d毛细血管管径、血流灌注、血液流态积分,观察并记录两组患者手术时间、术中出血量、术后排气时间、住院时间,统计手术治疗效果及术后并发症发生情况。结果:两组术后1d、7d毛细血管管径、血流灌注低于两组术前,血液流态积分、VAS评分高于两组术前,差异具有统计学意义(P<0.05);观察组术后1d、7d毛细血管管径、血流灌注高于常规组术后1d、7d,血液流态积分、VAS评分低于常规组术后1d、7d,差异具有统计学意义(P<0.05)。观察组术后排气时间、住院时间、术中出血量、术后疼痛消失时间、肌瘤体积低于常规组,手术时间、治疗总有效率高于常规组,差异具有统计学意义(P<0.05)。结论:腹腔镜辅助下LAM治疗直径>10cm子宫浆膜下肌瘤患者具有较好的治疗效果,有效减轻患者的疼痛,改善患者局部微循环功能及手术相关指标。Objective:To analyze the effect of laparoscopic assisted small incision hysteromyomectomy(LAM)in patients with subserosal myoma with diameter with diameter>10cm.Methods:A total of 80 patients with subserosal fibroids with diameter>10cm in our hospital from November 2017 to November 2020 were selected and divided into routine group(39 cases)and observation group(41 cases)with random number table method.The conventional group was treated with traditional open procedure,and the observation group was treated with LAM assisted laparoscopy.The capillary diameter,blood perfusion and blood flow pattern integral of the 2 groups before and 1 and 7 days after surgery were detected.The operative time,intraoperative blood loss,postoperative exhaust time and length of hospital stay of the 2 groups were observed and recorded.The surgical treatment effect and postoperative complications were statistically analyzed.Results:The capillary diameter and blood perfusion of the two groups were lower than those of the two groups at 1 and 7 days after the operation,and the blood flow status and VAS scores were higher than those of the two groups before the operation.The difference was statistically significant(P<0.05);The capillary diameter and blood perfusion of the group were higher than those of the routine group at 1 and 7 days after the operation,and the blood flow status and VAS score were lower than those of the routine group at 1 and 7 days after the operation.The difference was statistically significant(P<0.05).The observation group's postoperative exhaust time,hospitalization length,intraoperative blood loss,postoperative pain disappearance time,and fibroids volume were lower than those of the conventional group,and the operation time and total effective rate of treatment were higher than those of the conventional group.The difference was statistically significant(P<0.05)Conclusion:Laparoscopic assisted LAM has a good therapeutic effect in the treatment of patients with subserosal myoma with diameter>10cm,which effectively alle

关 键 词：腹腔镜 腹壁小切口子宫肌瘤剔除术 子宫浆膜下肌瘤 临床疗效 

分 类 号：R737.33[医药卫生—肿瘤]