微创腹腔镜剔除术与传统手术治疗子宫肌瘤的临床疗效比较  

Comparison of Clinical Efficacy Between Minimally Invasive Laparoscopic Resection and Traditional Surgery in the Treatment of Uterine Fibroids

作　　者：唐闽 TANG Min(Obstetrics and Gynecology Department of Yongfeng County Traditional Chinese Medicine Hospital,Jiangxi Province,Jiangxi Ji’an 331500)

机构地区：[1]江西省永丰县中医院妇产科,江西吉安331500

出　　处：《中国医疗器械信息》2025年第4期64-66,104,共4页China Medical Device Information

摘　　要：目的:比较子宫肌瘤微创腹腔镜剔除术与传统开腹手术的临床疗效。方法:选取子宫肌瘤患者60例,依据手术方法分为微创腹腔镜剔除术组、传统开腹手术治疗组两组,各30例。统计分析两组围术期指标等。结果:微创腹腔镜剔除术组患者的切口长度短于传统开腹手术治疗组(P<0.05),术中出血量少于传统开腹手术治疗组(P<0.05),手术时间、住院时间均短于传统开腹手术治疗组(P<0.05),去甲肾上腺素、肾上腺素水平、疼痛评分均低于传统开腹手术治疗组(P<0.05),术后并发症发生率6.67%(2/30)低于传统开腹手术治疗组26.67%(8/30),差异有统计学意义(χ^(2)=4.320,P<0.05),子宫形态正常率、症状改善率、月经转归率均高于传统开腹手术治疗组(P<0.05),肌瘤复发率低于传统开腹手术治疗组(P<0.05)。结论:子宫肌瘤治疗中微创腹腔镜剔除术的临床疗效较传统开腹手术显著。Objective:To compare the clinical efficacy of traditional open surgery and minimally invasive laparoscopic removal surgery for uterine fibroids.Methods:60 patients with uterine fibroids were selected and according to the surgical method,they were divided into two groups:minimally invasive laparoscopic resection group and traditional open surgery treatment group,each with 30 cases.Statistical analysis of two sets of perioperative indicators.Results:The incision length of patients in the minimally invasive laparoscopic resection group was shorter than that in the traditional open surgery treatment group(P<0.05),the intraoperative bleeding was less than that in the traditional open surgery treatment group(P<0.05),the surgical time and hospital stay were shorter than those in the traditional open surgery treatment group(P<0.05),and the levels of parathyroid hormone,adrenaline,and pain score were lower than those in the traditional open surgery treatment group(P<0.05),the incidence of postoperative complications was 6.67%(2/30)lower than that of the traditional open surgery treatment group 26.67%(8/30),the difference was statistically significant(χ^(2)=4.320,P<0.05),the normal rate of uterine morphology,symptom improvement rate,and menstrual outcome rate were all higher in the group treated with traditional open surgery(P<0.05),and the recurrence rate of fibroids was lower in the group treated with traditional open surgery(P<0.05).Conclusion:The clinical efficacy of uterine fibroids treated by minimally invasive laparoscopic resection is significantly better than that of traditional open surgery.

关 键 词：子宫肌瘤 微创腹腔镜剔除术 传统开腹手术 应激反应 并发症 

分 类 号：R737.33[医药卫生—肿瘤]