腹腔镜下子宫肌瘤剥除术对子宫肌瘤患者疗效及术后康复的影响  

Effect of Laparoscopic Hysteromyomectomy on the Curative Effect and Postoperative Rehabilitation of Patients with Hysteromyoma

作　　者：王菲 Wang Fei(Department of Obstetrics and Gynecology,The Fifth People's Hospital of Jiangyin,Jiangyin 214415,China)

机构地区：[1]江阴市第五人民医院妇产科,江苏江阴214415

出　　处：《实用妇科内分泌电子杂志》2022年第26期19-21,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的研究子宫肌瘤患者应用腹腔镜下子宫肌瘤剥除术治疗的临床疗效及对术后康复的影响。方法选取40例子宫肌瘤患者,根据手术方法不同分为开腹组(采用开腹手术治疗)与腹腔组(采用腹腔镜下子宫肌瘤剥除术治疗),每组20例。比较两组临床疗效、术后1年复发情况及围手术期指标。结果开腹组总有效率80.00%和术后1年复发率15.00%与腹腔组的90.00%、10.00%比较,差异无统计学意义(P>0.05)。腹腔组手术时间、术后首次下床活动时间、恢复排气时间、恢复排便时间及住院时间均短于开腹组,术中出血量少于开腹组,差异有统计学意义(P<0.05)。结论腹腔镜下子宫肌瘤剥除术治疗子宫肌瘤的疗效良好,术后复发率较低,且术中出血量较少,手术创伤性较小,大大加速康复进程,缩短住院时间。Objective To study the clinical effect of laparoscopic hysteromyoma removal in patients with uterinefibroids and its influence on postoperative rehabilitation.Methods 40 patients with uterine fibroids were selected and divided into the laparotomy group(treated by laparotomy)and the peritoneal group(treated by laparoscopic uterinefibroid removal)according to different surgical methods,with 20 cases in each group.The clinical efficacy,recurrence 1 year after surgery and perioperative indexes of the two groups were compared.Results The total effective rate of the laparotomy group was 80.00%and the recurrence rate of 1 year after surgery was 15.00%compared with that of the peritoneal group(90.00%and 10.00%),there was no significant difference(P>0.05).The time of operation,the time of getting out of bed for thefirst time after surgery,the time of resuming exhaust gas,the time of resuming defecation and the time of staying in hospital were all shorter in the abdominal group than in the open group,and the amount of intraoperative blood loss was less than that in the open group,the difference was statistically significant(P<0.05).Conclusion Laparoscopic myomectomy is effective in the treatment of hysteromyoma,with low postoperative recurrence rate,less intraoperative bleeding,less surgical trauma,greatly accelerating the rehabilitation process and shortening the hospital stay.

关 键 词：子宫肌瘤 腹腔镜下子宫肌瘤剥除术 临床疗效 康复 

分 类 号：R737.33[医药卫生—肿瘤]