摘要
目的 探讨腹腔镜下和宫腔镜下子宫肌瘤电切术的临床效果及对卵巢功能、首次妊娠时间的影响.方法 选取2015年9月至2018年3月在晋城煤业集团总医院就诊的130例子宫肌瘤患者,随机分为对照组和观察组,每组65例.对照组患者实施腹腔镜下子宫肌瘤剔除术,观察组患者实施宫腔镜下子宫肌瘤电切术.观察并比较两组患者的手术效果、手术前后卵巢功能指标变化以及首次妊娠时间等指标.结果 观察组手术时间、术中出血量、术后排气时间均显著少于对照组（P〈0.05）.术前,两组促卵泡生成素（FSH）、雌二醇（E2）以及黄体生成素（LH）比较差异未见统计学意义（P〉0.05）;术后3个月,对照组FSH水平高于对照组（P〈0.05）,且两组LH、E2水平比较差异未见统计学意义（P〉0.05）.观察组住院时间、首次妊娠时间均少于对照组（P〈0.05）.结论 相较于腹腔镜剔除术,宫腔镜下电切术治疗子宫肌瘤的临床疗效更为显著,该术的创伤性较小,不会增加患者的手术时间,不影响患者的卵巢功能,且减少了患者的住院时间,缩短了患者的首次妊娠时间,值得临床推广使用.
Objective To investigate the clinical effect of laparoscopic and hysteroscopic hysteromyomectomy and its influence on ovarian function and first pregnancy time .Methods A total of 130 cases of uterine myoma treated in Jincheng Coal Industry Group General Hospital from September 2015 to March 2018 were selected as the research objects , and the patients were randomly divided into control group and observation group , with 65 cases in each group .Control group received laparoscopic myomectomy, while observation group received hysteroscopic myomectomy .And the operation effects , ovarian function indexes and the time of first pregnancy before and after operation were compared between the two groups.Results The time of operation, amount of bleeding and exhaust time of observation group were lower than those of control group（P〈0.05）.Before operation, there was no significant differencethe two groups of E 2 , FSH or LH （ P〉0.05 ） , and the level of FSH in control group was significantly higher than that of control group at 3 months after operation （ P〈0.05 ） , and there were no significant differences in the levels of LH and E 2 between the two groups （ P〉0.05 ） .The hospitalization time and first pregnancy time of observation group were lower than those of control group （ P〈0.05 ） . Conclusions Compared with laparoscopic hysteromyomectomy , the hysteroscopic hysteromyomectomy has more significant clinical effect .The operation is less traumatic, without increase the patient＇s operation time and the amount of intraoperative bleeding , and has no effect on the ovarian function of the patients, reduces the patient＇s time of hospitalization, and shortens the first pregnancy time of the patients.It is worth popularizing in clinical practice .
作者
刘建萍
Liu Jianping(Department of Gynecology,Jincheng Coal Industry Group General Hospital,Jincheng 048006,China)
出处
《中国实用医刊》
2018年第20期64-66,70,共4页
Chinese Journal of Practical Medicine
关键词
腹腔镜下子宫肌瘤剔除术
宫腔镜下子宫肌瘤电切术
卵巢功能
首次妊娠时间
Laparoscopic myomectomy for myoma of uterus
Hysteroscopic electromyoma of uterine myoma under hysteroscopy
Ovarian function
First pregnancy time
