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患者术后妊娠的影响。方法选取我院2015年1月—2017年1月收治的80例子宫肌瘤患者作为研究对象。观察组40例患者给予腹腔镜子宫肌瘤剔除术治疗,对照组40例患者给予经腹子宫肌瘤剔除术治疗,对比两组患者手术指标和术后避孕时间以及术后恢复情况。结果观察组患者手术时间、住院时间短于对照组,术中出血量少于对照组,术后排气时间、术后避孕时间快于对照组,差异具有统计学意义(P <0.05)。观察组患者术后妊娠子宫破裂、盆腔粘连发生率均显著低于对照组,差异具有统计学意义(P <0.05)。结论腹腔镜子宫肌瘤剔除术治疗子宫肌瘤效果显著,可改善患者手术指标,减少并发症发生。
Objective To investigate the influence of laparoscopic myomectomy and abdominal myomectomy on postoperative pregnancy in patients with uterine fibroids. Methods 80 cases of uterine fibroids treated in our hospital from January 2015 to January 2017 were selected as the research objects. 40 patients in the observation group were treated with laparoscopic myomectomy. 40 patients in the control group were treated with abdominal myomectomy. The operative index, postoperative contraceptive time and postoperative recovery were compared between the two groups. Results The operation time and hospitalization time of the observation group were shorter than those of the control group, the amount of bleeding during operation was less than that of the control group, and the postoperative exhaust time and contraceptive time were faster than those of the control group, the difference was statistically signifcant （P 〈 0.05）. The incidence of uterine rupture and pelvic adhesion in the observation group was significantly lower than that in the control group （P 〈 0.05）. Conclusion Laparoscopic myomectomy is effective in treating uterine fbroids, which can improve operative indexes and reduce complications.
作者
罗彩霞
LUO Caixia(Obstetrics and Gynecology Department,E＇zhou Maternal and Child Health Care Hospital,E＇zhou Hubei 436099,China)
出处
《中国继续医学教育》
2018年第28期100-102,共3页
China Continuing Medical Education
关键词
腹腔镜
子宫肌瘤
剔除术
经腹
术后
妊娠
laparoscopy
hysteromyoma
removal
transabdominal
postoperative
pregnancy
