腹腔镜与传统开腹子宫肌瘤剔除术治疗子宫肌瘤对其术后切口感染率和瘢痕发生率的影响  

The impact of laparoscopic and traditional open myomectomy for the treatment of uterine fibroids on postoperative incision infection rate and scar incidence

作　　者：周翠松 Zhou Cuisong(Jinxiang County People's Hospital,Jining Shandong,272200,China)

机构地区：[1]金乡县人民医院,山东济宁272200

出　　处：《中外女性健康研究》2024年第1期54-56,共3页Women＇s Health Research

摘　　要：目的:探讨腹腔镜与传统开腹手术治疗子宫肌瘤的临床疗效。方法:抽取时间段为2020年3月至2022年3月,至本院就诊的子宫肌瘤患者,共计90例,随机数字表法分组,对照组45例,传统开腹手术,研究组45例,腹腔镜子宫肌瘤剔除术,将两组手术指标、卵巢功能指标水平、并发症、QOL评分纳入统计学软件中,对比数据差异性。结果:研究组术中出血量、排气时间、下床活动时间、手术时间、住院时间均明显少于(短于)对照组,P<0.05;研究组术前、术后的促卵泡激素、促黄体生成素均无明显差异,P>0.05,说明研究组治疗方式不会明显影响卵巢功能;术后并发症:研究组为6.67%,对照组为22.22%,P<0.05;QOL评分:术前,两组QOL评分均无明显差异,P>0.05,术后,研究组QOL评分均明显高于对照组,P<0.05。结论:对子宫肌瘤患者而言,腹腔镜子宫肌瘤剔除术不会对卵巢功能造成明显的影响,手术安全性较高,便于提高术后生活质量,具有一定的临床借鉴价值。Objective:To investigate the clinical efficacy of laparoscopy and traditional open surgery in the treatment of uterine fibroids.Methods:Extraction period for March 2020-March 2022,to our hospital uterine fibroids patients,a total of 90 cases,random number table group,control group of 45 cases,traditional open surgery,study group 45 cases,laparoscopic uterine fibroids removed,two groups of surgical index,ovarian function index level,complications,QOL score into the statistical software,compare the data difference.Results:The blood loss,discharge time,ambultime,operation time and hospitalization were significantly less than(shorter than)the control group,P<0.05;no difference in follicle stimulating hormone and LH,P>0.05,indicating that treatment did not significantly affect ovarian function;Postoperative complications:6.67%,control group 22.22%,P<0.05;QOL score:preoperative,P>0.05,postoperative,QOL score was significantly higher than the control group,P<0.05.Conclusion:For patients with uterine fibroids,laparoscopic uterine myomectomy will not cause a significant impact on the ovarian function,the surgical safety is high,it is easy to improve the postoperative quality of life,and has a certain clinical reference value.

关 键 词：子宫肌瘤 开腹 腹腔镜 子宫肌瘤剔除术 并发症 

分 类 号：R711[医药卫生—妇产科学]