摘要
目的分析腹腔镜子宫肌瘤剔除术治疗子宫肌瘤的效果及对患者妊娠情况的影响。方法 40例子宫肌瘤患者,随机分为研究组与对照组,各20例。研究组使用腹腔镜子宫肌瘤剔除术治疗,对照组使用开腹手术治疗。比较两组患者的手术时间、住院时间、术中出血量、治疗效果、并发症发生率及肌瘤残留率、复发率、妊娠率。结果研究组手术时间(42.82±10.22)min、住院时间(7.34±2.18)d均短于对照组的(69.82±16.16)min、(15.82±4.04)d,出血量(139.82±57.73)ml少于对照组的(197.71±63.41)ml,差异均有统计学意义(P<0.05)。研究组并发症发生率15.00%低于对照组的45.00%,差异有统计学意义(P<0.05)。研究组妊娠率85.00%高于对照组的55.00%,差异有统计学意义(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,肌瘤残留率、复发率与开腹手术结果相同,但腹腔镜手术时间和住院时间均较短,术中出血量少,患者恢复较快,并发症较少,对患者子宫的伤害较小,妊娠率较高,因此,腹腔镜子宫肌瘤剔除术的推广和应用价值都较高。
Objective To analyze the effect of laparoscopic myomectomy in the treatment of hysteromyoma and its influence on pregnancy. Methods A total of 40 hysteromyoma patients were randomly divided into research group and control group, with 20 cases in each group. The research group was treated by laparoscopic myomectomy, and the control group was treated by open myomectomy. The operation time, hospitalization time, amount of intraoperative hemorrhage, therapeutic effect, occurrence of complications, fibroids residual rate, recurrence rate and pregnancy rate were compared between the two groups. Results The operation time(42.82±10.22) min and hospitalization time(7.34±2.18) d of the research group were shorter than those of the control group(69.82±16.16) min and(15.82±4.04) d, and amount of hemorrhage(139.82±57.73) ml was less than that of the control group(197.71±63.41) ml. The difference was statistically significant(P<0.05). The incidence of complications 15.00% of the research group was lower than that of the control group 45.00%, and the difference was statistically significant(P<0.05). The pregnancy rate 85.00% of the research group was higher than that of the control group 55.00%, and the difference was statistically significant(P<0.05). Conclusion Laparoscopic myomectomy has a significant effect on the treatment of hysteromyoma. The residual rate and recurrence rate of hysteromyoma are the same as those of open surgery, but is has shorter operation time and hospitalization time, less amount of intraoperative hemorrhage, faster recovery of patients, lower complications are, and the harm to uterus is less, and the pregnancy rate is higher. Therefore, it contains high promotion and application value.
作者
马瑞风
MA Rui-feng(First Affiliated Hospital of Baotou Medical College of Inner Mongolia University of Science and Technology,Baotou 014010,China)
出处
《中国实用医药》
2020年第10期4-6,共3页
China Practical Medicine
