改良腹腔镜治疗子宫单发及多发子宫肌瘤的临床研究  

Clinical study of improved laparoscopic treatment of single and multiple uterine fibroids

作　　者：高安荣 Gao Anrong(Department of Obstetrics and Gynecology,Hefeng Central Hospital,Enshi 445800,China)

机构地区：[1]湖北恩施鹤峰县中心医院妇产科,湖北恩施445800

出　　处：《实用妇科内分泌电子杂志》2023年第14期24-26,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探析单发及多发子宫肌瘤患者实施改良腹腔镜治疗的临床疗效。方法选取80例子宫肌瘤患者,根据患者子宫肌瘤数量分为单发组与多发组,每组40例。所有患者均施行改良腹腔镜治疗,比较两组临床疗效。结果两组手术时间、肛门排气时间、住院时间、术中出血量、下床活动时间、正常月经量恢复率比较,差异无统计学意义(P>0.05)。手术前及手术后,两组性生活质量评分、雌二醇(E2)、卵泡刺激素(FSH)、促黄体生成素(LH)水平、子宫体积及肌瘤体积比较,差异无统计学意义(P>0.05),但多发组肌瘤钙化率略高。单发组并发症发生率12.50%与多发组的10.00%比较,差异无统计学意义(P>0.05)。结论单发及多发子宫肌瘤患者实施改良腹腔镜治疗方法,具有较好治疗效果,促进肌瘤体积明显缩小,改善患者性激素水平,多发肌瘤钙化率虽高,但满足实际治疗需求,值得临床推广与应用。Objective To explore the clinical effect of modified laparoscopic treatment on patients with single and multiple uterine fibroids.Methods 80 patients with uterine fibroids were selected and divided into single group and multiple group according to the number of uterine fibroids,with 40 cases in each group.All patients underwent laparoscopic treatment,and the clinical efficacy of the two groups was compared.Results There was no significant difference in the recovery rate of operation time,anal exhaust time,hospital stay,intraoperative blood loss,getting out of bed activity time and normal menstrual volume between the two groups(P>0.05).Before and after surgery,there were no significant differences in sexual life quality scores,estradiol(E2),follicle-stimulating hormone(FSH),luteinizing hormone(LH)levels,uterine volume and fibroid volume between the two groups(P>0.05),but the fibroid calcification rate was slightly higher in the multiple group.There was no significant difference in the incidence of complications between the single group(12.50%)and the multiple group(10.00%)(P>0.05).Conclusion Improved laparoscopic treatment for patients with single and multiple uterine fibroids has a good therapeutic effect,promoting a significant reduction in the volume of fibroids and significantly improving the level of sex hormones in patients.Although the rate of fibroid calcification in the multiple group is high,it meets the actual treatment needs and is worthy of clinical promotion and application.

关 键 词：腹腔镜 子宫肌瘤 临床疗效 

分 类 号：R737.33[医药卫生—肿瘤]