腹腔镜下子宫肌瘤剥除术与传统开腹手术对子宫肌瘤患者的疗效对比  

Comparison on the curative effect of laparoscopic myomectomy and traditional laparotomy on patients with uterine fibroid

作　　者：王芳[1] WANG Fang(Obstetrics and Gynecology Department,Suqian Traditional Chinese Medicine Hospital,Suqian 223800,China)

机构地区：[1]宿迁市中医院妇产科,223800

出　　处：《中国现代药物应用》2024年第18期36-39,共4页Chinese Journal of Modern Drug Application

摘　　要：目的 对比腹腔镜下子宫肌瘤剥除术与传统开腹手术对子宫肌瘤患者的效果。方法 98例子宫肌瘤患者作为研究对象,随机分为对照组和观察组,每组49例。对照组采用传统开腹手术治疗,观察组采用腹腔镜下子宫肌瘤剥除术治疗。比较两组手术相关指标、术后并发症发生情况及手术前后内分泌功能指标[促卵泡生成素(FSH)、促黄体生成素(LH)]水平。结果 观察组术中出血量(93.6±12.1)ml少于对照组的(116.4±17.5)ml,恢复排气时间(24.3±5.2)h、住院时间(5.3±1.1)d短于对照组的(41.6±8.7)h、(8.2±0.6)d,手术时间(74.3±10.5)min长于对照组的(57.2±6.3)min,差异明显(P<0.05)。术后3个月,观察组FSH、LH水平与本组术前比较无明显差异(P>0.05);术后3个月,对照组FSH、LH水平均比本组术前有所上升,差异明显(P<0.05)。术后3个月,观察组FSH、LH水平分别为(4.39±0.16)、(6.78±0.65)U/L,低于对照组的(7.52±0.53)、(8.75±1.03)U/L,差异明显(P<0.05)。观察组术后并发症发生率为8.16%,显著低于对照组的22.45%,差异明显(P<0.05)。结论 腹腔镜下子宫肌瘤剥除术治疗子宫肌瘤的安全性较高,对患者内分泌功能影响较小,且能减少并发症发生,促进患者病情康复,值得临床推广。Objective To compare the effect of laparoscopic myomectomy and traditional laparotomy on patients with uterine fibroid.Methods 98 patients with uterine fibroid were selected as research subjects and randomly divided into a control group and an observation group,with 49 cases in each group.The control group was treated with traditional laparotomy,and the observation group was treated with laparoscopic myomectomy.Comparison was made on surgery-related indicators,the occurrence of postoperative complications and the levels of endocrine function indicators[follicle stimulating hormone(FSH),luteinizing hormone(LH)]before and after surgery between the two groups.Results The intraoperative blood loss of(93.6±12.1)ml in the observation group was less than(116.4±17.5)ml in the control group;the observation group had exhaust recovery time of(24.3±5.2)h and hospitalization days of(5.3±1.1)d,which were shorter than(41.6±8.7)h and(8.2±0.6)d in the control group;the surgical time of(74.3±10.5)min in the observation group was longer than(57.2±6.3)min in the control group;the difference was significant(P<0.05).3 months after surgery,the levels of FSH and LH in the observation group were not significantly different from those before surgery in this group(P>0.05).3 months after surgery,the levels of FSH and LH in the control group were higher than those before surgery,and the differences were significant(P<0.05).3 months after surgery,the levels of FSH and LH in the observation group were(4.39±0.16)and(6.78±0.65)U/L,which were lower than(7.52±0.53)and(8.75±1.03)U/L in the control group,and the differences were significant(P<0.05).The incidence of postoperative complications in the observation group was 8.16%,which was significantly lower than 22.45%in the control group(P<0.05).Conclusion Laparoscopic myomectomy has high safety in the treatment of uterine fibroid,has little impact on the endocrine function of patients,and can reduce the occurrence of complications and promote the rehabilitation of patients,which is wort

关 键 词：腹腔镜下子宫肌瘤剥除术 子宫肌瘤 传统开腹手术 

分 类 号：R737.33[医药卫生—肿瘤]