摘要
目的比较改良腹腔镜和经腹两种术式下全子宫切除术对巨大子宫肌瘤的治疗效果。方法选取巨大子宫肌瘤患者70例,按随机编号法将其分成对照组和观察组,各35例。两组患者均给予全子宫切除术治疗,其中对照组采用经腹术式,观察组采用改良腹腔镜术式。比较两组患者的切口长度(L)、手术时间(T1)、术中出血量(V)、手术成功率以及术后排气时间(T2)、术后下床时间(T3)、术后住院时间(T4)和并发症情况的差异。结果两组患者均成功完成手术,其中观察组的L、T1、V、T2、T3、T4均显著优于对照组(P<0.01),术中、术后并发症情况则与对照组无统计学差异(P>0.05)。结论改良腹腔镜术式下的全子宫切除术较经腹术式创伤小、手术时间短以及术后恢复快,对巨大子宫肌瘤的治疗效果更好,值得临床推荐。
Objective To compare the effect between modified laparoscopic and transabdominal hysterectomy in the treatment of giant hysteromyoma.Methods 70 patients withgiant hysteromyoma were selected and divided into the control group and the observation group by random numbering method,with 35 patients in each group.The control group were treated with transabdominal hysterectomy,and the observation group were treated with modified laparoscopic hysterectomy.The incision length,operation time,intraoperative blood loss,success rate of surgery,postoperative exhaust time,time to get out of bed,length of hospital stayand complications were compared between the two groups.Results Surgeries for both groups were successfully completed.The incision length,operation time and postoperative hospital stay of the observation group were significantly shorter than those of the control group(P<0.01).The intraoperative blood loss,postoperative exhaust time and time to get out of bed were also significantly less/shorter than those of the control group(P<0.01).However,there was no significant difference in intraoperative or postoperative complications between the two groups(P>0.05).Conclusion Compared with transabdominal hysterectomy,modified laparoscopic hysterectomyhas the advantages of less trauma,shorter operation time,and quicker postoperative recovery in the treatment of giant hysteromyoma.
作者
黄菊
王云
吕佳
Huang Ju;Wang Yun;Lv Jia(Obstetrics and Gynecology Department,Nanzhao County People's Hospital,Nanyang 474650,China)
出处
《哈尔滨医药》
2021年第2期9-10,共2页
Harbin Medical Journal
关键词
改良腹腔镜
经腹
全子宫切除术
巨大子宫肌瘤
治疗效果
Modified laparoscopic hysterectomy
Transabdominal
Total hysterectomy
Giant hysteromyoma
Treatment effect
