不同手术方法治疗子宫肌瘤患者的效果对比  

Comparison on the Effects of Different Surgical Methods in the Treatment of Patients with Uterine Fibroids

作　　者：朱小杰 李辉晓 ZHU Xiaojie;LI Huixiao(Department of Obstetrics and Gynecology,Zhengzhou Xinhua Hospital,Zhengzhou 452370,China)

机构地区：[1]郑州新华医院妇产科,河南郑州452370

出　　处：《临床医学工程》2024年第10期1173-1174,共2页Clinical Medicine & Engineering

摘　　要：目的对比分析腹腔镜子宫全切术(LTH)、腹腔镜子宫肌瘤剥除术(LM)治疗子宫肌瘤(UF)患者的临床效果。方法选取2021年1月至2023年2月我院收治的90例UF患者,随机分为两组各45例。A组行LM治疗,B组行LTH治疗。比较两组的手术相关指标、性激素水平及并发症。结果A组的术后首次排气时间及住院时间均明显短于B组,术中出血量明显少于B组(P<0.05)。术后3个月,A组的血清E2水平明显高于B组,血清LH、FSH水平均明显低于B组(P<0.05)。A组的术后并发症总发生率为2.22%,明显低于B组的17.78%(P<0.05)。结论与LTH相比,LM治疗UF患者能明显减少术中出血量,缩短康复时间,减少术后并发症,且对机体性激素水平的影响较小。Objective To compare and analyze the clinical effects of laparoscopic total hysterectomy(LTH)and laparoscopic myomectomy(LM)in the treatment of patients with uterine fibroids(UF).Methods 90 patients with UF admitted to our hospital from January 2021 to February 2023 were selected and randomly divided into two groups,with 45 cases in each group.Group A was treated with LM,and group B was treated with LTH.The operation related indicators,levels of sex hormones and complications were compared between the two groups.Results The first exhaust time and hospitalization time in group A were significantly shorter than those in group B,and the intraoperative blood loss amount was significantly less than that in group B(P<0.05).At 3 months after surgery,the serum E2 level in group A was significantly higher than that in group B,and the serum LH and FSH levels were significantly lower than those in group B(P<0.05).The total incidence of postoperative complications in group A was 2.22%,significantly lower than 17.78%in group B(P<0.05).Conclusions Compared with LTH,LM in the treatment of UF patients can significantly reduce intraoperative blood loss amount,shorten recovery time,reduce postoperative complications,and has less impact on body sex hormone levels.

关 键 词：腹腔镜子宫肌瘤剥除术 腹腔镜子宫全切术 子宫肌瘤 性激素 

分 类 号：R737.33[医药卫生—肿瘤]