摘要
目的探讨腹腔镜下子宫肌瘤剔除术治疗子宫肌瘤的临床效果。方法选取99例子宫肌瘤患者,根据手术方法不同分为研究组(56例)与对照组(43例)。研究组采用腹腔镜下子宫肌瘤剔除术治疗,对照组采用常规开腹手术治疗。对比两组手术相关指标、术后并发症发生情况及复发率。结果研究组术中出血量(57.63±3.40)ml明显少于对照组(118.42±4.29)ml,手术时间(75.32±5.39)min、首次肛门排气时间(16.80±2.04)h、首次下床活动时间(22.30±2.51)h及住院时间(7.05±1.44)d均明显短于对照组的(95.47±4.84)min、(30.21±3.24)h、(38.44±3.16)h、(9.63±1.61)d,差异具有统计学意义(P<0.05)。研究组术后并发症发生率为3.57%,明显低于对照组的20.93%,差异具有统计学意义(P<0.05)。随访6个月后,两组复发率对比差异无统计学意义(P>0.05)。结论相比常规开腹手术,腹腔镜下子宫肌瘤剔除术治疗子宫肌瘤的效果更明显,术中出血量少,手术时间及术后恢复时间均较短,术后并发症少,复发风险小,有利于患者康复。
Objective To investigate the clinical effect of laparoscopic myomectomy for uterine fibroids.Methods 99 patients with uterine fibroids were selected and divided into study group(56 cases)and control group(43 cases)according to different surgical methods.The study group was treated with laparoscopic myomectomy,while the control group was treated with routine open surgery.Operation related indicators,postoperative complications and recurrence rates were compared between the two groups.Results The intraoperative blood loss of the study group(57.63±3.40)ml was significantly lower than that of the control group(118.42±4.2)ml.Operation time(75.32±5.39)min,first anal exhaust time(16.80±2.04)h,first ambulation time(22.30±2.51)h and hospital stay(7.05±1.44)d were significantly shorter than those of control group(95.47±4.84)min,(30.21±3.24)h,(38.44±3.16)h and(9.63±1.61)d were statistically significant(P<0.05).The incidence of postoperative complications in the study group was 3.57%,which was significantly lower than that in the control group(20.93%),with statistical significance(P<0.05).After 6 months of follow-up,there was no significant difference in recurrence rate between the two groups(P>0.05).Conclusion Compared with conventional laparotomy,laparoscopic myomectomy is more effective in the treatment of uterine fibroids,with less intraoperative blood loss,shorter operation time and postoperative recovery time,less postoperative complications and low recurrence risk,which is conducive to the recovery of patients.
作者
赵志勇
Zhao Zhiyong(Department of Obstetrics and Gynecology,Quanzhou People's Hospital of Guilin,Guilin 541500,China)
出处
《实用妇科内分泌电子杂志》
2022年第4期58-61,共4页
Electronic Journal of Practical Gynecological Endocrinology
