腹腔镜子宫肌瘤剔除术治疗子宫肌瘤的疗效及安全性研究  

Study on the Efficacy and Safety of Laparoscopic Myomectomy in Treating Uterine Fibroids

作　　者：霍真真 HUO Zhenzhen(Department of Obstetrics and Gynecology,Kaifeng Maternal and Child Health Hospital,Kaifeng Henan 475000,China)

机构地区：[1]开封市妇幼保健院妇产科,河南开封475000

出　　处：《临床研究》2025年第5期89-91,共3页Clinical Research

摘　　要：目的观察腹腔镜子宫肌瘤剔除术(LM)治疗子宫肌瘤的疗效及安全性。方法回顾性分析将2022年1月至2024年6月开封市妇幼保健院收治的62例子宫肌瘤患者,根据不同的手术方案分为两组,每组31例。研究组采用LM,对照组采用开腹子宫肌瘤剔除术(TAM)。对比两组临床疗效,术中出血量,术后首次下床时间、肠鸣音恢复时间,住院时间,以及术后并发症(软组织损伤、伤口感染、肠梗阻)发生率。结果研究组治疗有效率(96.77%)高于对照组(70.97%),差异有统计学意义(P<0.05)。研究组术中出血量和术后首次下床时间、肠鸣音恢复时间及住院时间均少于对照组,差异有统计学意义(P<0.05)。研究组术后并发症发生率(3.23%)低于对照组(19.35%),差异有统计学意义(P<0.05)。结论LM治疗子宫肌瘤疗效确切,可优化围手术期指标,降低术后并发症发生率,具有临床运用价值。Objective To observe the efficacy and safety of laparoscopic myomectomy(LM)in the treatment of uterine fibroids.Methods A retrospective analysis was conducted on 62 patients with uterine fibroids admitted to Kaifeng Maternal and Child Health Hospital from January 2022 to June 2024.Patients were divided into two groups based on different surgical approaches,with 31 cases in each group.The study group underwent LM,while the control group underwent Tradi-tional Open Myomectomy(TAM).Clinical efficacy,intraoperative blood loss,time to first ambulation after surgery,time for bowel sounds to return,length of hospital stay,and incidence of postoperative complications(soft tissue injury,wound infection,bowel obstruction)were compared between the two groups.Results The effective treatment rate in the study group(96.77%)was significantly higher than that in the control group(70.97%),with a statistically significant difference(P<0.05).The study group had less intraoperative blood loss,as well as shorter times for first ambulation,return of bowel sounds,and length of hospital stay compared to the control group,with statistically significant differences(P<0.05).The incidence of postoperative complications in the study group(3.23%)was lower than that in the control group(19.35%),and the difference was statistically significant(P<0.05).Conclusion Laparoscopic myomectomy is effective for treating uterine fibroids,can optimize perioperative indicators,reduce the incidence of postoperative complications,and holds clinical value for application.

关 键 词：子宫肌瘤 腹腔镜子宫肌瘤剔除术 开腹子宫肌瘤剔除术 安全性 

分 类 号：R737.33[医药卫生—肿瘤]