腹腔镜子宫肌瘤剔除术与阴式子宫肌瘤剔除术对子宫肌瘤治疗效果的对比研究  

Comparative study of the effect of laparoscopic and vaginal myomectomy on the treatment of uterine fibroids

作　　者：贾晓风 Jia Xiao-feng(Department of Obstetrics and Gynecology,The Third People's Hospital of Sanmenxia,Sanmenxia 472000,Henan,China)

机构地区：[1]三门峡市第三人民医院妇产科,河南三门峡472000

出　　处：《四川生理科学杂志》2025年第4期815-816,939,共3页

摘　　要：目的:探讨腹腔镜子宫肌瘤剔除术(LM)与阴式子宫肌瘤剔除术(VM)对子宫肌瘤患者并发症发生率及术后恢复进程的影响。方法:选取2023年6月至2024年6月期间本院收治的92例子宫肌瘤患者作为研究对象。采用随机数字表法将患者分为对照组和观察组,每组各46例。对照组采用腹腔镜子宫肌瘤剔除术;观察组采用阴式子宫肌瘤剔除术。分析比较两组的手术相关指标、术后恢复情况及并发症发生情况。结果:两组的肌瘤剔除数量无显著差异,但观察组的手术时间、出血量均比对照组显著降低(P<0.05)。两组的术后引流量无显著差异,但观察组术后排气及住院时间比对照组显著缩短,住院费用比对照组显著减少(P<0.05)。两组的并发症发生率无显著差异(P>0.05)。结论:相比LM,子宫肌瘤患者采用VM治疗能改善手术相关指标,促进患者术后恢复,且安全性较高。Objective:To investigate the effects of laparoscopic myomectomy(LM)on the incidence of complications and postoperative recovery of patients with uterine fibroids.Methods:92 patients with uterine fibroids admitted to our hospital from June 2023 to June 2024 were selected as the study objects.The patients were divided into control group and observation group by random number table method,with 46 cases in each group.The control group underwent laparoscopic myomectomy.The observation group underwent vaginal myomectomy.The operative indexes,postoperative recovery and complications of the two groups were analyzed and compared.Results:There was no significant difference in the number of myomatectomy between the two groups,but the operation time and blood loss in the observation group were significantly lower than those in the control group(P<0.05).There was no significant difference in postoperative drainage volume between the two groups,but the postoperative exhaust gas and hospitalization time in the observation group were significantly shorter than those in the control group,and the hospitalization cost was significantly reduced(P<0.05).There was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusion:Compared with LM,VM treatment in patients with uterine fibroids can improve the relevant indexes of surgery,promote the postoperative recovery of patients,and has higher safety.

关 键 词：子宫肌瘤 腹腔镜子宫肌瘤剔除术 阴式子宫肌瘤剔除术 并发症 

分 类 号：R737.33[医药卫生—肿瘤]