腹腔镜子宫肌瘤剔除术治疗子宫肌瘤患者的临床效果研究  

Study on clinical effect of laparoscopic myomectomy in the treatment of uterine leiomyoma

作　　者：张莉 ZHANG Li(Jinxiang County People's Hospital,Jining 272200,China)

机构地区：[1]金乡县人民医院,272200

出　　处：《中国实用医药》2024年第12期26-29,共4页China Practical Medicine

摘　　要：目的 分析腹腔镜子宫肌瘤剔除术治疗子宫肌瘤患者的临床效果。方法 86例子宫肌瘤患者,根据治疗方案不同分为对照组和观察组,每组43例。对照组接受传统开腹手术治疗,观察组接受腹腔镜子宫肌瘤剔除术治疗。比较两组患者临床疗效、手术相关指标(手术时间、术中出血量、下床活动时间、肠道恢复时间、住院时间)、卵巢功能[黄体生成激素(LH)、卵泡生成激素(FSH)、窦卵泡计数(AFC)]、并发症发生情况。结果 观察组临床总有效率为97.67%,高于对照组的86.05%(P<0.05)。观察组的手术时间(62.37±5.02)min、下床活动时间(11.19±3.71)h、肠道恢复时间(20.09±3.52)h、住院时间(4.05±0.79)d均短于对照组的(83.52±4.96)min、(29.80±3.91)h、(34.18±3.60)h、(8.33±0.91)d,术中出血量(75.32±4.62)ml少于对照组的(125.58±5.02)ml(P<0.05)。观察组的LH(17.79±3.47)U/L、FSH(18.66±3.52)U/L均低于对照组的(22.25±2.96)、(23.34±2.41)U/L, AFC(8.04±2.21)个多于对照组的(7.03±1.62)个(P<0.05)。观察组并发症发生率(4.65%)明显低于对照组(18.60%)(P<0.05)。结论 给予子宫肌瘤患者腹腔镜子宫肌瘤剔除术治疗,临床疗效显著,手术相关指标得到有效改善,卵巢功能恢复良好,且并发症少,应用价值较高。Objective To analyze the clinical effect of laparoscopic myomectomy in the treatment of uterine leiomyoma.Methods 86 patients with hysteromyoma were divided into a control group and an observation group according to different treatment regimens,with 43 cases in each group.The control group was treated with traditional laparotomy,while the observation group was treated with laparoscopic myomectomy.Both groups were compared in terms of clinical efficacy,operation-related indexes(operation time,intraoperative blood loss,off-bed ambulation time,intestinal recovery time,hospitalization time),ovarian function[luteinizing hormone(LH),follicle-forming hormone(FSH),antral follicle count(AFC)],and occurrence of complications.Results The total effective rate of the observation group was 97.67%,which was higher than the control group's 86.05%(P<0.05).In the observation group,the operation time was(62.37±5.02)min,the off-bed ambulation time was(11.19±3.71)h,the intestinal recovery time was(20.09±3.52)h,and the hospitalization time was(4.05±0.79)d,which were shorter than(83.52±4.96)min,(29.80±3.91)h,(34.18±3.60)h,and(8.33±0.91)d in the control group;the observation group had less intraoperative blood loss of(75.32±4.62)ml than(125.58±5.02)ml in the control group(P<0.05).The LH and FSH of the observation group were(17.79±3.47)and(18.66±3.52)U/L,which were lower than(22.25±2.96)and(23.34±2.41)U/L of the control group;the observation group had more AFC of(8.04±2.21)than(7.03±1.62)of the control group(P<0.05).The complication rate of the observation group(4.65%)was significantly lower than that of the control group(18.60%)(P<0.05).Conclusion Laparoscopic myomectomy for patients with uterine leiomyoma has a significant clinical effect,operation-related indicators have been effectively improved,ovarian function recovery is good,and there are fewer complications.So is has high application value.

关 键 词：子宫肌瘤 腹腔镜子宫肌瘤剔除术 临床效果 手术相关指标 卵巢功能 并发症 

分 类 号：R737.33[医药卫生—肿瘤]