腹腔镜子宫肌瘤剔除术与开腹式手术治疗子宫肌瘤的效果评价  

Evaluation of the Efficacy of Laparoscopic Myomectomy versus Open Surgery in the Treatment of Uterine Fibroids

作　　者：单莉莉 Shan Lili(Heze Shanxian County Maternal and Child Health Hospital,Heze 274300,Shandong Province,China)

机构地区：[1]菏泽市单县妇幼保健院,山东菏泽274300

出　　处：《中外医药研究》2025年第4期9-11,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:探讨腹腔镜子宫肌瘤剔除术与开腹式手术治疗子宫肌瘤的效果。方法:选取2021年1月—2023年11月菏泽市单县妇幼保健院收治的子宫肌瘤患者80例为研究对象,随机分为对照组与观察组,各40例。对照组行开腹式手术治疗,观察组行腹腔镜子宫肌瘤剔除术治疗。比较两组基本手术指标、激素水平、安全性。结果:观察组手术操作时间、在院治疗时间短于对照组,术中出血量少于对照组,术后排气时间早于对照组(P<0.001)。治疗前,两组雌二醇、黄体生成素、卵泡刺激素水平比较,无统计学差异(P>0.05);治疗后,两组雌二醇水平降低、黄体生成素及卵泡刺激素水平升高,观察组雌二醇水平高于对照组、黄体生成素及卵泡刺激素水平低于对照组(P<0.05)。观察组不良反应总发生率低于对照组(P=0.025)。结论:腹腔镜子宫肌瘤剔除术治疗子宫肌瘤的效果优于开腹式手术,手术时间短、术中损伤小、术后恢复快,对性激素水平影响小,安全性高。Objective:To investigate the efficacy of laparoscopic myomectomy versus open surgery in the treatment of uterine fibroids.Methods:A total of 80 patients with uterine fibroids admitted to the Heze Shanxian County Maternal and Child Health Hospita,from January 2021 to November 2023 were selected as the study subjects.They were randomly divided into a control group and an observation group,with 40 cases in each group.The control group underwent open surgery,while the observation group received laparoscopic myomectomy.The basic surgical indicators,hormone levels,and safety were compared between the two groups.Results:The operation time,hospital stay,intraoperative blood loss,and postoperative exhaust time in the observation group were significantly shorter or less than those in the control group(P<0.001).Before treatment,there were no statistically significant differences in estradiol,luteinizing hormone,and follicle-stimulating hormone levels between the two groups(P>0.05).After treatment,estradiol levels decreased,while luteinizing hormone and follicle-stimulating hormone levels increased in both groups.The estradiol level in the observation group was higher than that in the control group,and the luteinizing hormone and follicle-stimulating hormone levels were lower than those in the control group(P<0.05).The total incidence of adverse reactions in the observation group was lower than that in the control group(P=0.025).Conclusion:Laparoscopic myomectomy is superior to open surgery in the treatment of uterine fibroids,with shorter operation time,less intraoperative damage,faster postoperative recovery,minimal impact on sex hormone levels,and high safety.

关 键 词：子宫肌瘤 腹腔镜子宫肌瘤剔除术 开腹式手术 

分 类 号：R737.33[医药卫生—肿瘤]