腹腔镜下子宫肌瘤剔除术与开腹手术的临床疗效比较  

Comparison of Clinical Effect between Laparoscopic Myomectomy and Laparotomy

作　　者：张秀楠 ZHANG Xiunan(Department of Obstetrics and Gynecology,the Second Hospital of Chaoyang City,Chaoyang 122000,China)

机构地区：[1]辽宁省朝阳市第二医院妇产科,辽宁朝阳122000

出　　处：《中国医药指南》2022年第24期79-81,85,共4页Guide of China Medicine

摘　　要：目的 分析对比开腹手术与腹腔镜下子宫肌瘤剔除术治疗子宫肌瘤的临床效果。方法 研究活动开展时间为2017年1月至2019年1月,挑选该时间段接诊的84例子宫肌瘤患者。按照单复数分组方法将患者分为对照组与观察组,两组患者例数均为42例。对照组患者采取开腹剔除子宫肌瘤,观察组患者于腹腔镜下子宫肌瘤剔除术。比较分析不同手术方式取得的临床效果。结果(1)术前,两组患者的LH、FSH、AFC等指标差异不显著(P> 0.05),术后,观察组患者的LH、FSH、AFC等指标改善效果明显比对照组更理想,有统计学差异(P <0.05)。(2)观察组(2例,占比为4.76%)的术后并发症发生率相比对照组(11例,占比为26.19%)明显更低,有统计学差异(P <0.05)。(3)观察组的手术时间、术中出血量、术后下床时间、肛门排气时间和术后住院时间都比对照组少,有统计学差异(P <0.05)。(4)观察组患者术后即刻、术后2 h、术后24 h、术后48 h、术后72 h的疼痛评分明显比对照组更轻,有统计学差异(P <0.05)。(5)观察组(40例,占比为95.24%)患者的满意度相比对照组(35例,占比为83.33%)明显更高,有统计学差异(P <0.05)。结论 对子宫肌瘤实施手术治疗的患者,通过腹腔镜下子宫肌瘤剔除手术对患者实施治疗的效果明显优于传统的开腹手术,可改善患者的卵巢功能,降低术后并发症的发生概率,促进患者术后的康复,减轻患者的疼痛并提升患者的满意度,值得推荐。Objective To analyze and compare the clinical effect of open surgery and laparoscopic myomectomy in the treatment of uterine fibroids.Methods The research activities were carried out from January 2017 to January 2019,and 84 patients with uterine fibroids who were admitted during this period were selected.The patients were divided into the control group and the observation group according to the singular and plural grouping method,and the number of patients in both groups was 42 cases.The patients in the control group underwent laparotomy to remove uterine fibroids,while the patients in the observation group underwent laparoscopic myomectomy.The clinical effects of different surgical methods were compared and analyzed.Results(1)Before operation,there was no significant difference in LH,FSH,AFC and other indicators between the two groups(P>0.05).After operation,the improvement effect of LH,FSH,AFC and other indicators in the observation group was significantly better than that in the control group,there was a statistical difference(P<0.05).(2)the incidence of postoperative complications in the observation group(2 cases,accounting for 4.76%)was significantly lower than that in the control group(11 cases,accounting for 26.19%),there was a statistical difference(P<0.05).(3)The operation time,intraoperative blood loss,postoperative ambulation time,anal exhaust time and postoperative hospital stay in the observation group were less than those in the control group,with statistical differences(P<0.05).(4)The pain score of the observation group was significantly lighter than that of the control group immediately after operation,2 h after operation,24 h after operation,48 h after operation and 72 h after operation,with statistical difference(P<0.05).(5)The satisfaction of patients in the observation group(40 cases,accounting for 95.24%)was significantly higher than that in the control group(35 cases,accounting for 83.33%),with a statistical difference(P<0.05).Conclusion For patients with uterine fibroids,the effect of lapar

关 键 词：腹腔镜 子宫肌瘤剔除术 开腹手术 卵巢功能 并发症 满意度 

分 类 号：R737.33[医药卫生—肿瘤]