分析腹腔镜微创子宫肌瘤剔除术在治疗子宫肌瘤中的效果

To Analyze the Effect of Laparoscopic Myomectomy in the Treatment of Uterine Fibroids

目的分析腹腔镜微创子宫肌瘤剔除术在治疗子宫肌瘤中的效果,为临床使用提供参考。方法按照随机分组的原则,将我院2018年1月至2019年1月收治的100例子宫肌瘤患者,划分为2组-对照组50例,采取传统开腹手术治疗;观察组50例,采取腹腔镜微创子宫肌瘤剔除术治疗。对两组患者的手术指标(手术时间、术中出血量)、术后恢复状况(术后排气时间、住院时间、复发状况)、并发症发生率、治疗总有效率等指标进行观测和比较。结果观察组患者的手术时间、术中出血量、术后排气时间、住院时间、复发率相较于对照组数值较小,统计值P<0.05,差异具有统计学意义;观察组患者的并发症发生率与治疗总有效率相较于对照组的数值存在明显差异,统计值P<0.05。结论在治疗子宫肌瘤时,运用腹腔镜微创子宫肌瘤剔除术,能够有效地降低手术对患者的创伤,保证手术结果,且术后患者康复状态较好,并发症发生率低,值得推广。

Objective To analyze the effect of minimally invasive laparoscopic myomectomy in the treatment of uterine fibroids,and to provide a reference for clinical use.Methods According to the principle of randomization,100 patients with uterine fibroids admitted to our hospital from January 2018 to January 2019 were divided into 2 groups-control group(50 cases)and received traditional laparotomy.In the observation group,50 cases were treated with laparoscopic minimally invasive myomectomy.The operation indexes(operation time,intraoperative blood loss),postoperative recovery status(postoperative exhaust time,hospital stay,recurrence status),complication rate,total effective rate and other indexes of the two groups were observed and compared.Results The operation time,intraoperative blood loss,postoperative exhaust time,hospital stay and recurrence rate of the observation group were smaller than those of the control group,with statistical value P<0.05,indicating statistically significant differences.The complication rate and total effective rate of treatment in the observation group were significantly different from that in the control group,with a statistical value P<0.05.Conclusion In the treatment of uterine fibroids,the use of laparoscopic minimally invasive myomectomy can effectively reduce the surgical trauma to patients,ensure the surgical results,and postoperative recovery of patients is good,the incidence of complications is low,worthy of promotion.