腹腔镜子宫肌瘤剔除术与经腹子宫肌瘤剔除术治疗子宫肌瘤的临床效果及安全性研究  

Study on the Clinical Effect and Safety of Laparoscopic Myomectomy and Transabdominal Myomectomy in the Treatment of Uterine Fibroids

作　　者：汪霞 WANG Xia(Department of Obstetrics and Gynecology,Shangrao Guangxin District People′s Hospital,Shangrao 334100,Jiangxi,China)

机构地区：[1]上饶市广信区人民医院妇产科,江西上饶334100

出　　处：《医学信息》2025年第5期127-131,共5页Journal of Medical Information

摘　　要：目的探讨腹腔镜子宫肌瘤剔除术与经腹子宫肌瘤剔除术对子宫肌瘤的临床效果及安全性。方法选取2021年1月-2023年6月上饶市广信区人民医院收治的子宫肌瘤患者60例作为研究对象,以随机数字表法分为对照组和研究组,每组各30例。对照组行经腹子宫肌瘤剔除术治疗,研究组实施腹腔镜下子宫肌瘤剔除术治疗。比较围手术期指标(手术用时、术中失血量、术后下床活动时间、术后肛门首次排气时间、住院时间)、并发症(呼吸抑制、失血休克、出血、切口液化、感染、经期紊乱)发生情况、卵巢功能[雌二醇(E2)、黄体生成素(LH)、促卵泡成熟激素(FSH)]、性功能(性欲望、性唤起、性交痛、阴道润滑、性高潮、性满意度)。结果研究组手术用时、术中失血量、术后下床活动时间、术后肛门首次排气时间、住院时间均低于对照组(P<0.05)。研究组术后并发症总发生率低于对照组(P<0.05);研究组术后LH、FSH水平高于对照组,E2水平低于对照组(P<0.05);研究组性功能评分高于对照组(P<0.05)。结论与经腹子宫肌瘤剔除术比较,腹腔镜子宫肌瘤剔除术在治疗子宫肌瘤患者中的临床效果更为确切,患者围手术期指标改善情况更为迅速,且术后卵巢功能、性功能恢复更好,安全性更高。Objective To investigate the clinical effect and safety of laparoscopic myomectomy and transabdominal myomectomy for uterine fibroids.Methods A total of 60 patients with uterine fibroids admitted to Guangxin District People′s Hospital of Shangrao City from January 2021 to June 2023 were selected as the research objects.They were divided into control group and study group by random number table method,with 30 patients in each group.The control group was treated with transabdominal myomectomy,and the study group was treated with laparoscopic myomectomy.Perioperative indicators(operation time,intraoperative blood loss,postoperative ambulation time,postoperative anal first exhaust time,hospitalization time),complications(respiratory depression,hemorrhagic shock,bleeding,incision liquefaction,infection,menstrual disorder),ovarian function[estradiol(E2),luteinizing hormone(LH),follicle stimulating hormone(FSH)],sexual function(sexual desire,sexual arousal,sexual pain,vaginal lubrication,orgasm,sexual satisfaction)were compared.Results The operation time,intraoperative blood loss,postoperative ambulation time,postoperative anal exhaust time and hospitalization time of the study group were lower than those of the control group(P<0.05).The total incidence of postoperative complications in the study group was lower than that in the control group(P<0.05).The levels of LH and FSH in the study group were higher than those in the control group,and the level of E2 was lower than that in the control group(P<0.05).The sexual function scores of the study group were higher than those of the control group(P<0.05).Conclusion Compared with transabdominal myomectomy,laparoscopic myomectomy has a more accurate clinical effect in the treatment of patients with uterine fibroids.The improvement of perioperative indicators is more rapid,and the recovery of ovarian function and sexual function is better and safer.

关 键 词：腹腔镜子宫肌瘤剔除术 经腹子宫肌瘤剔除术 子宫肌瘤 安全性 

分 类 号：R737.33[医药卫生—肿瘤]