开腹与腹腔镜治疗子宫肌瘤的临床疗效及安全性分析  

Clinical efficacy and safety analysis of open and laparoscopic treatment of uterine fibroids

作　　者：曹晓琳[1] Cao Xiaolin(Department of Obstetrics and Gynecology,Peixian People's Hospital,Xuzhou 221600,China)

机构地区：[1]沛县人民医院妇产科,江苏徐州221600

出　　处：《实用妇科内分泌电子杂志》2023年第27期46-48,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的 探讨开腹与腹腔镜治疗子宫肌瘤的临床疗效及安全性。方法 选取80例子宫肌瘤患者,根据患者手术方法不同将其分为开腹组(30例)与腹腔镜组(50例)。开腹组采用开腹手术治疗,腹腔镜组采用腹腔镜手术治疗。比较两组手术和术后指标以及术后并发症发生情况。结果 腹腔镜组的手术时间、肛门首次排气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)。腹腔镜组的术后并发症发生率为4.00%,显著低于开腹组的36.67%,差异有统计学意义(P<0.05)。结论 相比传统的开腹手术,采用腹腔镜手术治疗子宫肌瘤能够获得更好的临床效果,且安全性也更具有保障,具有临床推广价值。Objective To explore the clinical efficacy and safety of open and laparoscopic treatment of uterine fibroids.Methods 80 patients with uterine fibroids were selected and divided into open group(30 cases) and laparoscopic group(50 cases) according to different surgical methods.The laparotomy group was treated with laparotomy,and the laparoscopy group was treated with laparoscopic surgery.The intraoperative and postoperative indexes and postoperative complications were compared between the two groups.Results The operation time,first anal exhaust time and hospital stay in laparoscopic group were shorter than those in laparotomy group,and the intraoperative blood loss was less than that in laparotomy group,the difference was statistically significant(P<0.05).The incidence of postoperative complications in the laparoscopic group was 4.00%,significantly lower than that in the open group(36.67%),with statistical significance(P<0.05).Conclusion Compared with traditional open surgery,laparoscopic surgery for the treatment of uterine fibroids can achieve better clinical results,and its safety is more guaranteed,which has clinical promotion value.

关 键 词：开腹 腹腔镜 子宫肌瘤 

分 类 号：R737.33[医药卫生—肿瘤]