腹腔镜下粉碎器用于子宫肌瘤剔除术中的效果及对术后复发率的影响  

The Effect of Laparoscopic Pulverizer in Uterine Fibroid Removal Surgery and Its Impact on Postoperative Recurrence

作　　者：李艳[1] LI Yan(Department of Gynecology,Taizhou Second People's Hospital,Taizhou 225500,Jiangsu,China)

机构地区：[1]江苏省泰州市第二人民医院妇科,江苏泰州225500

出　　处：《中外医疗》2024年第24期63-66,共4页China & Foreign Medical Treatment

摘　　要：目的 探讨腹腔镜下粉碎器用于子宫肌瘤剔除术中的效果及对术后复发率的影响。方法 随机选取2020年2月—2021年3月江苏省泰州市第二人民医院妇科收治的150例子宫肌瘤患者为研究对象,依据不同治疗方法分为两组,对照组(n=75)采取常规子宫肌瘤剔除术,观察组(n=75)采取腹腔镜下运用粉碎器的子宫肌瘤剔除术。比较两组患者手术相关指标、性激素水平、并发症发生率及复发率。结果 观察组手术时间为(62.63±4.58)min、术后肛门排气时间为(1.58±0.14)d、术后下床活动时间为(2.01±0.36)d、住院时间为(4.25±0.42)d,均短于对照组的(73.17±5.84)min、(2.36±0.25)d、(3.02±1.41)d、(5.84±0.86)d,术中出血量为(50.12±6.32)mL,少于对照组的(95.87±12.85)mL,差异有统计学意义(t=12.780、23.575、6.010、14.387、27.667,P均<0.05)。术后,两组患者雌二醇、黄体生成素、卵泡刺激素比较,差异无统计学意义(P均>0.05)。观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。两组患者肌瘤残余及复发率比较,差异无统计学意义(P均>0.05)。结论 采用腹腔镜下运用粉碎器的子宫肌瘤剔除术治疗,术中创伤小,术后恢复快,能够减少对卵巢功能的损伤,降低并发症发生率,且并未增加肌瘤残余与复发率,具有较高临床应用优势。Objective To explore the effect of laparoscopic pulverizer on uterine fibroid removal surgery and its impact on postoperative recurrence.Methods A total of 150 patients with uterine fibroids admitted to the gynecology department of the Taizhou Second People's Hospital,Jiangsu Province from February 2020 to March 2021 were randomly selected as the study objects.They were divided into two groups according to different treatment methods.The control group(n=75)underwent conventional myomectomy,and the observation group(n=75)underwent laparoscopic myomectomy using a pulverizer.Operation related indexes,sex hormone levels,complication rate and recurrence rate were compared between the two groups.Results The operation time of the observation group was(62.63±4.58)min,the postoperative anal exhaust time was(1.58±0.14)d,the postoperative ambulation time was(2.01±0.36)d,and the hospitalization time was(4.25±0.42)d,which were shorter than that of the control group(73.17±5.84)min,(2.36±0.25)d,(3.02±1.41)d,(5.84±0.86)d,the intraoperative blood loss was(50.12±6.32)mL,less than the control group's(95.87±12.85)mL,the differences were statistically significant(t=12.780,23.575,6.010,14.387,27.667,all P<0.05).After operation,there was no significant difference in estradiol,luteinizing hormone and follicle stimulating hormone between two groups(all P>0.05).The incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).There was no significant difference in the residual and recurrence rates of fibroids between two groups (both P>0.05). Conclusion Laparoscopic myomectomy with pulverizer can reduce the damage to ovarian function, reduce the incidence of complications, and not increase the residual and recurrence rate of myoma, which has a high advantage in clinical application.

关 键 词：腹腔镜 粉碎器 子宫肌瘤剔除术 子宫肌瘤 复发 

分 类 号：R737.33[医药卫生—肿瘤]