腹腔镜下子宫肌瘤剥除术治疗子宫肌瘤的价值分析  

Analysis of the Value of Laparoscopic Myomectomy for the Treatment of Uterine Fibroids

作　　者：卢寒 胡婷 王彩霞[1] 陈妤 LU Han;HU Ting;WANG Caixia;CHEN Yu(Department of Obstetrics and Gynecology,Guangdong Provincial Corps Hospital of the Chinese People’s Armed Police Force,Guangzhou Guangdong 510000,China)

机构地区：[1]中国人民武装警察部队广东省总队医院妇产科,广东广州510000

出　　处：《中国卫生标准管理》2022年第15期77-81,共5页China Health Standard Management

摘　　要：目的 探讨子宫肌瘤患者采用腹腔镜下子宫肌瘤剥除术治疗的价值。方法 纳入 100 例子宫肌瘤患者研究(2020 年 1 月—2021 年 3 月),按双盲法分为两组,以开腹手术治疗者 50 例纳入对照组,以腹腔镜下子宫肌瘤剥除术治疗者 50 例纳入观察组,统计两组手术指标、性激素、免疫及炎症指标、恢复质量。结果 (1)手术指标 :手术时间评估结果长于对照组;术中出血量评估结果低于对照组;肛门排气时间、住院时间评估结果短于对照组,组间对比差异有统计学意义(P < 0.05)。(2)性激素 :观察组 E低于对照组,LH、FSH 高于对照组,组间对比差异有统计学意义(P< 0.05)。(3)免疫及炎症指标 :观察组 IL-6、TNF-α 低于对照组,CD3^(+)、CD4^(+)、CD8^(+)、IL-10 高于对照组,组间对比差异有统计学意义(P < 0.05)。(4)恢复质量 :观察组高于对照组,组间对比差异有统计学意义(P < 0.05)。结论 腹腔镜下子宫肌瘤剥除术在子宫肌瘤治疗中可行性较高,可改善其炎症状态,亦可提高免疫功能,在降低术中出血量同时,缩短手术时间、住院时间,值得借鉴及参考。Objective To explore the value of laparoscopic uterine myomectomy in patients with uterine fibroids. Methods A total of100 cases of uterine fibroids patients (January 2020 to March 2021)were divided into two groups according to the double-blind method,50 patients treated with open surgery were included in the control group, 50 patients treated with laparoscopic uterine fibroids removal were included in the observation group, and the surgical indicators, sex hormones, immune and inflammation indicators, and recovery quality of the two groups were counted. Results (1) Surgical index: operation time was longer than control group;intraoperative bleeding amount was lower than the control group;anal exhaust time and hospitalization time were shorter than control group, the differences between the groups were statistically significant (P < 0.05). (2) Sex hormones: Ein the observation group was lower than the control group, LH and FSH were higher than the control group, and the differences between the groups were statistically significant (P < 0.05). (3) Immune and inflammation indicators: IL-6 and TNF-α were lower than those of the control group, CD3^(+), CD4^(+), CD8^(+) and IL-10 were higher than those of the control group, and the differences between the groups were statistically significant (P < 0.05). (4) Quality of recovery: the observation group was higher than that of the control group, and the difference between the groups was statistically significant (P < 0.05).Conclusion Laparoscopic uterine myomectomy is highly feasible in the treatment of uterine fibroids, which can improve its inflammatory state,but also improve its immune function, at the same time, it can reduce the amount of intraoperative blood loss and shorten the operation time and hospitalization time, which is worthy of reference.

关 键 词：腹腔镜下子宫肌瘤剥除术 子宫肌瘤 术中出血量 术后肛门排气时间 免疫功能 手术时间 

分 类 号：R737[医药卫生—肿瘤]