摘要
目的:观察腹腔镜子宫肌瘤剔除术治疗育龄期多发子宫肌瘤患者的效果。方法:选取60例育龄期多发子宫肌瘤患者为研究对象,按照随机数字表法分为对照组和观察组各30例。对照组行传统开腹手术治疗,观察组行腹腔镜子宫肌瘤剔除术治疗。比较两组手术相关指标(手术时间、术中出血量、切口长度)水平、术后恢复指标(术后24 h内肛门排气占比、使用镇痛剂占比、体温≥37.5℃占比、住院时间)水平、并发症发生率、复发率、妊娠成功率及妊娠结局。结果:观察组手术时间、切口长度均短于对照组,术中出血量少于对照组,差异均有统计学意义(P<0.05);观察组体温≥37.5℃、使用镇痛剂占比低于对照组,24 h内肛门排气占比高于对照组,住院时间短于对照组,差异均有统计学意义(P<0.05);观察组并发症发生率、复发率均低于对照组,差异有统计学意义(P<0.05);观察组术后妊娠成功率、阴道分娩率均高于对照组,差异有统计学意义(P<0.05);两组胎盘附着位置比较,差异无统计学意义(P>0.05)。结论:腹腔镜子宫肌瘤剔除术治疗育龄期多发子宫肌瘤患者可改善手术相关指标和术后恢复指标水平,降低并发症发生率和复发率,以及提高妊娠成功率和阴道分娩率,优于传统开腹手术治疗效果。
Objective:To observe effects of laparoscopic myomectomy in treatment of multiple uterine fibroids in patients of childbearing age.Methods:60 patients of childbearing age with multiple uterine fibroids were selected as the research objects and were divided into control group and observation group according to the random number table method,30 cases in each group.The control group received traditional laparotomy,while the observation group received laparoscopic myomectomy.The levels of surgery-related indicators(operation time,intraoperative blood loss,incision length),the postoperative recovery indicator levels(percentage of anal exhaust within 24 hours after the surgery,percentage of analgesic usage,percentage of body temperature≥37.5℃,hospitalization time),the incidence of complications,the recurrence rate,the pregnancy success rate,and the pregnancy outcomes were compared between the two groups.Results:The operation time and the incision length of the observation group were shorter than those of the control group;the intraoperative blood loss was less than that of the control group;and the differences were statistically significant(P<0.05).The proportions of the patients with body temperature≥37.5℃,and analgesics of the observation group were lower than those of the control group;the proportion of the patients with anal exhaust within 24 hours was higher than that of the control group;the hospitalization time was shorter than that of the control group;and the differences were statistically significant(P<0.05).The incidence of complications and the recurrence rate in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The postoperative pregnancy success rate and the vaginal delivery rate in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).However,there was no significant difference in the placenta attachment position between the two groups(P>0.05).Conclusions
作者
张东霞
ZHANG Dongxia(Department of Gynecology of the Central Hospital of Jiamusi City,Jiamusi 154002 Heilongjiang,China)
出处
《中国民康医学》
2022年第10期62-64,共3页
Medical Journal of Chinese People’s Health
关键词
腹腔镜子宫肌瘤剔除术
育龄期
多发子宫肌瘤
复发
妊娠
并发症
妊娠结局
Laparoscopic myomectomy
Multiple uterine fibroids
Childbearing age
Myoma recurrence
Pregnancy
Complication
Pregnancy outcome
