摘要
目的观察腹腔镜下子宫动脉阻断术治疗子宫肌瘤的临床效果,探究其临床意义。方法选取本院于2015年4月-2018年4月收治的264例子宫肌瘤患者作为研究对象,按照随机数表法平均分为两组,每组均为132例,对照组患者采取传统腹腔镜下子宫肌瘤剔除术进行治疗,观察组采取腹腔镜下子宫动脉阻断术联合子宫肌瘤剔除术进行治疗,治疗结束后,将两组患者的各疗效指标、复发率以及并发症发病率进行比较。结果采用不同手术方法进行治疗后,观察组患者的术中出血量、手术时间、排气时间以及住院时间均短于对照组,其中P<0.05,差异有统计学意义;对照组患者的复发率为18.18%,观察组患者的复发率为2.27%,观察组患者的复发率明显低于对照组,其中χ^2=7.268,P=0.001,差异有统计学意义;对照组患者的并发症发病率为14.39%,观察组患者的并发症发病率为1.52%,观察组患者的并发症发病率明显低于对照组,其中χ^2=6.298,P=0.001,差异有统计学意义。结论在对子宫肌瘤患者进行治疗时采取腹腔镜下子宫动脉阻断术联合子宫肌瘤剔除术进行治疗能够显著提高治疗效果,降低并发症发病率。
Objective To observe the clinical effect of laparoscopic uterine artery occlusion in the treatment of uterine fibroids,and to explore its clinical signi ficance.Methods 264 patients with uterine fibroids admitted to the hospital from April 2015 to April 2018 were enrolled in the study.They were divided into two groups according to the random number table method,with 132 cases in each group.Patients in the control group were treated with conventional laparoscopic myomectomy.The observation group was treated with laparoscopic uterine artery occlusion combined with hysteromyoma removal.After treatment,the efficacy index,recurrence rate and complication rate of the two groups were compared.Results After treatment with different surgical methods,the intraoperative blood loss,operation time,exhaust time and hospitalization time of the observation group were shorter than the control group,P<0.05,the difference was significant;the recurrence rate of the control group was 18.18%,the recurrence rate of the observation group was 2.27%.The recurrence rate of the observation group was significantly lower than that of the control group,with χ^2=7.268,P=0.001,and the difference was significant.The incidence of complications in the control group was 14.39%.The incidence of complications in the observation group was 1.52%.The incidence of complications in the observation group was significantly lower than that in the control group,with χ^2=6.298,P=0.001,and the difference was significant.Conclusion Laparoscopic uterine artery occlusion combined with hysteromyoma removal in the treatment of patients with uterine fibroids can significantly improve the treatment effect and reduce the incidence of complications.
作者
朱永智
ZHU Yongzhi(Yongzhi Department of Gynecology and Obstetrics,Fuzhou Taijiang Hospital,Fuzhou Fujian 350000,China)
出处
《中国卫生标准管理》
2019年第20期55-57,共3页
China Health Standard Management
关键词
腹腔镜
子宫动脉阻断术
子宫肌瘤
子宫肌瘤剔除术
临床疗效
并发症
laparoscopy
uterine artery occlusion
uterine fibroids
uterine fibroids removal
clinical efficacy
complications
