子宫肌瘤剔除术与介入栓塞术治疗子宫肌瘤的安全性及有效性分析  

Analysis of the safety and efficacy of myomectomy and interventional embolization in the treatment of uterine fibroids

作　　者：范丹[1] FAN Dan(Anshan Hospital,First Affiliated Hospital of China Medical University,Anshan 114000,China)

机构地区：[1]中国医科大学附属第一医院鞍山医院,114000

出　　处：《中国实用医药》2022年第8期73-75,共3页China Practical Medicine

摘　　要：目的分析子宫肌瘤剔除术与介入栓塞术治疗子宫肌瘤的安全性及有效性。方法50例子宫肌瘤患者,按照奇偶法分为对照组和观察组,每组25例。对照组实施子宫肌瘤剔除术,观察组实施介入栓塞术。对比两组临床指标、治疗效果、并发症及疾病复发情况。结果观察组手术时间(73.32±15.13)min、排气时间(25.56±5.43)h、住院时间(5.56±1.24)d均短于对照组的(84.15±13.33)min、(30.08±2.12)h、(8.02±1.23)d,差异有统计学意义(P<0.05)。观察组并发症发生率及疾病复发率分别为4.00%、4.00%,均低于对照组的28.00%、24.00%,差异有统计学意义(P<0.05)。两组治疗总有效率对比,差异无统计学意义(P>0.05)。结论子宫肌瘤剔除术与介入栓塞术相比存在一定限制,介入栓塞术治疗子宫肌瘤能够提升手术安全性,加速患者康复,降低疾病复发率及并发症发生率,具有临床使用价值。Objective To analyze the safety and efficacy of myomectomy and interventional embolization in the treatment of uterine fibroids.Methods A total of 50 patients with uterine fibroids were divided into control group and observation group according to the odd-even method,with 25 cases in each group.The control group underwent myomectomy,and the observation group underwent interventional embolization.The clinical indicators,therapeutic effect,complications and disease recurrence were compared between the two groups.Results The operation time of the observation group was(73.32±15.13)min,the exhaust time was(25.56±5.43)h,the hospitalization time was(5.56±1.24)d,which were all shorter than(84.15±13.33)min,(30.08±2.12)h,(8.02±1.23)d of the control group,and the difference was statistically significant(P<0.05).The complication rate and disease recurrence rate in the observation group were 4.00%and 4.00%,which were lower than 28.00%and 24.00%in the control group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in the total effective rate between the two groups(P>0.05).Conclusion Compared with interventional embolization,myomectomy has certain limitations.Interventional embolization for uterine fibroids can improve the surgical safety,accelerate the recovery of patients,reduce the recurrence rate and complication rate of the disease,which contains the value of clinical application.

关 键 词：子宫肌瘤剔除术 介入栓塞术 安全性 有效性 

分 类 号：R737.33[医药卫生—肿瘤]