腹腔镜与开腹子宫肌瘤剔除术治疗子宫肌瘤的效果比较  

Comparison of the effect of laparoscopic and open hysteromyomectomy in the treatment of uterine fibroids

作　　者：戴玲玲 高晶晶[1] Dai Lingling;Gao Jingjing(Department of Obstetrics and Gynecology,Jiangsu Sheyang County People's Hospital,Yancheng 224300,China)

机构地区：[1]江苏省射阳县人民医院妇产科,江苏盐城224300

出　　处：《实用妇科内分泌电子杂志》2024年第13期11-13,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的 探讨腹腔镜与开腹子宫肌瘤剔除术治疗子宫肌瘤的临床效果。方法 选取148例子宫肌瘤患者,随机分为研究组与对照组,各74例。研究组实施腹腔镜子宫肌瘤剔除术治疗,对照组实施开腹子宫肌瘤剔除术治疗,比较两组临床效果。结果 研究组手术时间、留置导尿管时间、肠鸣音恢复时间、下床活动时间及住院时间均短于对照组,术中出血量少于对照组,视觉模拟评分法(VAS)评分低于对照组(P<0.05)。研究组症状缓解率、子宫形态正常率高于对照组,术后并发症发生率及复发率低于对照组,月经量少于对照组,月经周期短于对照组,差异有统计学意义(P<0.05)。结论 腹腔镜子宫肌瘤剔除术治疗子宫肌瘤患者,可改善手术指标及预后,降低VAS评分及手术并发症发生率,值得临床应用。Objective To investigate the clinical effect of laparoscopic and open hysteromyomectomy in the treatment of hysteromyoma.Methods 148 patients with uterine fibroids were randomly divided into study group and control group,74 cases in each group.The study group was treated with laparoscopic myomectomy,while the control group was treated with open hysteromyomectomy.The clinical effects of the two groups were compared.Results The operation time,indentation catheter time,bowel sound recovery time,getting out of bed time and hospitalization time of the study group were shorter than those of the control group,the intraoperative blood loss was less than that of the control group,and the VAS score was lower than that of the control group(P<0.05).The symptom remission rate and normal uterine morphology rate of the study group were higher than that of the control group,the incidence of postoperative complications and recurrence rate were lower than that of the control group,the menstrual volume was lower than that of the control group,and the menstrual cycle was shorter than that of the control group,the differences were statistically significant(P<0.05).Conclusion Laparoscopic myomectomy in the treatment of patients with uterine fibroids can improve the surgical indicators and prognosis,reduce the VAS score and the incidence of surgic al complications,and is worthy of clinical application.

关 键 词：子宫肌瘤 腹腔镜手术 开腹手术 临床效果 

分 类 号：R73[医药卫生—肿瘤]