摘要
目的探讨及比较腹腔镜与宫腔镜施行子宫粘膜下大肌瘤切除术的临床疗效。方法方便选取2013年2月—2015年6月于该院进行手术治疗的70例粘膜下大肌瘤患者为研究对象,将其随机分为A组(腹腔镜手术组)35例和B组(宫腔镜手术组)35例,然后将两组患者的术中出血量、排气时间、住院时间及手术前后的创伤应激相关血清指标进行比较。结果两组的术中出血量≥20 m L比例分别为34.29%和37.14%,其差异无统计学意义,P>0.05,而B组排气时间<10 h及住院时间<3 d者比例分别为68.57%和71.43%,其均高于A组的48.57%和45.71%,创伤应激相关血清指标也均低于A组,P<0.05,差异有统计学意义。结论宫腔镜手术在子宫粘膜下大肌瘤切除术中的应用价值较高,其对患者造成的创伤应激程度相对较小。
Objective To observe and compare the clinical curative effect of submucous huge myoma resection under la- paroscope and hysteroscope. Methods 70 cases of patients with submucous huge myoma treated in our hospital from Febru- ary 2013 to June 2015 were selected as the research object and randomly divided into the group A （laparoscope operation） and the group B （hysteroscope operation） with 35 cases in each, the intraoperative blood loss, exhaust time, lengths of slay and traumatic stress related serum index before and after treatment of the two groups were compared. Results There was no obvious difference in the proportion of the patients whose intraoperative blood loss ≥20 mL between the two groups （34.29% vs 37.14%）P〉0.05, the proportions of the patients whose exhaust time〈10h and length of stay〈3d in the group B were re- spectively 68.57% and 71.43%, which were higher than those in the group A （48.57%, 45.71%）, the traumatic stress related serum index in the group B was lower than that in the group A, and there were obvious differencesP〈0.05. Conclusion The application value of hysteroscope operation in the submucous huge myoma resection is high, and the traumatic stress degree caused by it to patients is relatively smaller.
出处
《中外医疗》
2016年第9期72-73,96,共3页
China & Foreign Medical Treatment
关键词
腹腔镜手术
宫腔镜手术
子宫粘膜下大肌瘤
创伤应激
Laparnscope operation
Hysteroseope operation
Suhmucous huge myoma
Traumatic stress
