腹腔镜子宫肌瘤剔除术与开腹子宫肌瘤剔除术的治疗效果比较  

Comparison of therapeutic effects between laparoscopic myomectomy and open myomectomy

作　　者：黄桂英 张卫娣 洪进德 Huang Guiying;Zhang Weidi;Hong Jinde(Department of Gynecology,Fogang County People's Hospital,Qingyuan 511600,China)

机构地区：[1]佛冈县人民医院妇科,广东清远511600

出　　处：《实用妇科内分泌电子杂志》2024年第1期44-46,59,共4页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的分析子宫肌瘤患者采取不同手术治疗方案对其预后的影响。方法选取30例子宫肌瘤患者,采取随机数字表法分为对照组(15例,采用开腹子宫肌瘤剔除术治疗)与研究组(15例,采用腹腔镜子宫肌瘤剔除术治疗)。比较两组患者的手术指标、预后恢复情况、并发症发生情况、手术前后卵巢功能指标及炎性因子水平。结果研究组的手术时间短于对照组,术中出血量少于对照组(P<0.05)。研究组的胃肠功能恢复时间、术后下床时间及住院时间均较对照组短(P<0.05)。研究组并发症发生率6.67%明显低于对照组的40.00%(P<0.05)。研究组术后的卵巢功能指标、炎性因子水平均显著优于对照组(P<0.05)。结论腹腔镜子宫肌瘤剔除术治疗子宫肌瘤患者,有助于加快患者的预后恢复,提高临床疗效,同时也提升安全性,具有临床应用价值。Objective To analyzing the impact of different surgical treatment plans on the prognosis of patients with uterine fibroids.Methods 30 patients with uterine fibroids were selected and randomly divided into a control group(15 cases,treated with open uterine fibroid removal surgery)and a study group(15 cases,treated with laparoscopic uterine fibroid removal surgery)using a random number table method.Compare the surgical indicators,prognosis recovery,incidence of complications,ovarian function indicators before and after surgery,and levels of inflammatory factors between two groups of patients.Results The surgical time of the study group was shorter than that of the control group,and the intraoperative bleeding was less than that of the control group(P<0.05).The recovery time of gastrointestinal function,postoperative time to get out of bed,and hospital stay in the study group were shorter than those in the control group(P<0.05).The incidence of complications in the study group was 6.67%,which was significantly lower than the control group's 40.00%(P<0.05).The postoperative ovarian function indicators and inflammatory factor levels in the study group were significantly better than those in the control group(P<o.05).Conclusion Laparoscopic myomectomy for the treatment of uterine fibroid patients can help accelerate the patient's prognosis recovery,improve clinical efficacy,and also enhance safety,which has clinical application value.

关 键 词：腹腔镜子宫肌瘤剔除术 开腹子宫肌瘤剔除术 子宫肌瘤 临床疗效 

分 类 号：R737.33[医药卫生—肿瘤]