摘要
目的比较腹腔镜与开腹筋膜内子宫切除术治疗子宫肌瘤的效果。方法选取2012年8月—2013年6月本院接诊的76例子宫肌瘤患者,将其中行腹腔镜筋膜内子宫切除术的34例患者设为观察组,其余42例行开腹筋膜内子宫切除术的患者设为对照组。观察并比较两组患者术后肛门排气时间、尿管置留时间、起床活动时间、平均住院时间以及并发症发生情况。结果观察组患者术中平均出血量少于对照组,各项指标时间均优于对照组,差异有统计学意义(P<0.05);观察组患者并发症发生率为8.8%(3/34),对照组为31.0%(13/42),两组比较差异有统计学意义(P<0.05)。结论采用腹腔镜筋膜内子宫切除术治疗子宫肌瘤,患者出血量少、恢复快,且护理较为简单,可有效节省护理时间,简化护理工作。
Objective To compare the effect of laparoscopic intrafascial hysterectomy and open abdominal intrafascial hysterectomy in the treatment of uterine fibroid. Methods A total of 76 patients with uterine fibroid in our hospital were selected from August 2012 to June 2013. Thereinto 34 patients treated with laparoscopic intrafascial hysterectomy were served as observation group, and the other 42 patients treated with open abdominal intrafascial hysterectomy were served as control group. Evacuation time post operation,catheter indwelling time,activities time,average length of hospital stay and complications of the two groups were observed and compared. Results The average blood loss of observation group was less than that of control group,other index of observation group were better than those of control group,the differences were statistically significant（ P〈0. 05）. The incidence of complications of observation group was 8. 8%（ 3 /34）,while the incidence of complications of control group was 31. 0%,the difference was statistically significant（ P〈0. 05）. Conclusion Laparoscopic intrafascial hysterectomy has less blood loss and faster recovery in the treatment of uterine fibroid,which nursing is relatively simple,can effectively save nursing time,simplify nursing work.
出处
《临床合理用药杂志》
2014年第30期63-64,共2页
Chinese Journal of Clinical Rational Drug Use
关键词
平滑肌瘤
子宫肿瘤
腹腔镜
治疗结果
Leiomyoma
Uterine neoplasms
Laparoscopy
Treatment outcome
