腹腔镜与宫腔镜手术治疗不同体积Ⅱ型黏膜下子宫肌瘤效果  

Laparoscopic and Hysteroscopic Surgery in the Treatment of Submucosal Leiomyoma of Different Volume

作　　者：夏凤玲 XIA Fengling(Nuclear Industry General Hospital of Liaoning Provincial Health Industry Group,Xingcheng 125100,China)

机构地区：[1]辽宁省健康产业集团核工业总医院,辽宁兴城125100

出　　处：《中国医药指南》2022年第18期90-92,共3页Guide of China Medicine

摘　　要：目的分析腹腔镜与宫腔镜手术治疗不同体积Ⅱ型黏膜下子宫肌瘤效果。方法随机选取我院于2019年1月至2020年4月收治的72例Ⅱ型黏膜下子宫肌瘤患者进行研究,这些患者肌瘤的体积大小不同,患者均经我院伦理委员会批准符合纳入标注后,将其分为研究组和对比组,每组患者36例,研究组患者行宫腔镜手术治疗,对比组患者行腹腔镜手术治疗,对比两组患者不同手术方式治疗不同体积Ⅱ型黏膜下子宫肌瘤的手术相关指标,并将获取数据统计,进行组间对比分析。结果从手术时间、术中出血量、中转手术、并发症发生率、肠蠕动恢复时间来统计,对比组子宫肌瘤4~5 cm及>5 cm分别为(57.24±7.25)min、(76.85±8.33)min,(72.24±9.41)mL、(121.36±10.65)mL,1例(2.77%)、4例(11.11%),1例(2.77%)、4例(11.11%),(18.41±3.26)h、(21.34±6.29)h;研究组分别为(55.72±7.14)min、(69.58±6.17)min,(71.24±9.25)mL、(92.63±9.36)mL,1例(2.77%)、2例(5.55%),2例(5.55%)、2例(5.55%),(8.24±1.56)h、(28.51±7.89)h。治疗4~5 cm子宫肌瘤的过程中,研究组肠蠕动恢复时间优于对比组,差异有统计学意义(P<0.05);研究组患者从手术时间以及手术过程中的出血量以及中转手术患者的数量、并发症发生率与对比组差异无统计学意义(P>0.05)。治疗>5 cm子宫肌瘤时,对比组肠蠕动恢复时间优于研究组,而研究组的术中出血量少于对比组,差异有统计学意义(P<0.05);对比组手术时间、中转手术例数、并发症发生率与研究组差异无统计学意义(P>0.05)。结论在具体的治疗过程中,需要根据患者子宫肌瘤体积大小选择合适的治疗方式,提高患者的治疗效果。Objective To analyze the effect of laparoscopic and hysteroscopic surgery in the treatment of typeⅡsubmucosal uterine fibroids of different volumes.Methods Randomly selected from our hospital from January 2019 to April 2020 treated 72 cases of different typeⅡsubmucosal myoma of uterus volume as the research object,the patients were approved by the hospital ethics committee met inclusion after mark,it can be divided into research group and control group,each group of 36 patients,the research group hysteroscopy surgery treatment,control group patients with laparoscopic surgery,compared the two groups of patients with different surgical methods for the treatment of different volume typeⅡsubmucosal uterine fibroids surgery related indicators,and obtained data statistics,comparative analysis between groups.Results According to the statistics of operation time,intraoperative blood loss,transfer to surgery,incidence of complications and recovery time of intestinal peristalsis,the uterine fibroids of 4-5 cm and>5 cm in the control group were(57.24±7.25)min and(76.85±8.33)min,(72.24±9.41)mL and(121.36±10.65)mL,1(2.77%)and 4(11.11%),1(2.77%)and 4(11.11%),(18.41±3.26)h and(21.34±6.29)h;The research groups were(55.72±7.14)min and(69.58±6.17)min,(71.24±9.25)mL and(92.63±9.36)mL,1 case(2.77%)and 2 cases(5.55%),2 cases(5.55%)and 2 cases(5.55%),(8.24±1.56)h and(28.51±7.89)h.During the treatment of 4-5 cm uterine fibroids,the recovery time of intestinal peristalsis in the research group was better than that in the control group,and the difference was statistically significant(P<0.05).There was no significant difference between the research group and the control group in terms of operation time,intraoperative blood loss,the number of converted cases,and the incidence of complications(P>0.05).When treating uterine fibroids larger than 5 cm,the recovery time of intestinal peristalsis in the control group was better than that in the research group,and the intraoperative blood loss in the research group was less than

关 键 词：腹腔镜 宫腔镜 子宫肌瘤切除术 不同体积Ⅱ型黏膜下子宫肌瘤 

分 类 号：R737.33[医药卫生—肿瘤]