摘要
目的比较宫腔镜与开腹手术治疗黏膜下子宫肌瘤的临床效果。方法84例黏膜下子宫肌瘤患者应用随机数字表法分为对照组和观察组,每组各42例。观察组患者采用宫腔镜手术治疗,对照组患者采用传统的开腹手术治疗。比较两组患者术中及术后情况。结果观察组与对照组手术时间[(52.5±9.6)min、(72.6±13.4)min,t=5.468,P=0.006]、术中出血量[(84.6±16.7)ml、(116.8±28.4)ml,t=4.263,P=0.018]、术后肛门排气时间[(21.5±3.6)h、(29.8±5.4)h,t=4.438,P=0.024]、术后疼痛程度(VAS评分)[(3.6±1.4)分、(1.8±0.5)分,t:6.283,P=0.001]和住院时间[(5.4±1.8)d、(9.6±2.4)d,t:6.423,P=0.002]均明显低于对照组;住院费用高于对照组[(7394.9±1164.8)元与(5428.9±824.5)元,t=4.647,P=0.036],差异均有统计学意义。而两组间肌瘤复发率(20.5%与19.6%)比较差异无统计学意义(X2=0.236,P=0.637)。结论宫腔镜手术治疗黏膜下子宫肌瘤患者具有创伤小、术后恢复快的优势,是治疗黏膜下子宫肌瘤的理想手术方法。
Objective To compare the clinical effecabouhysteroscope and laparotomy in patientwith submucouuterine myoma. MethodEighty-foupatientwith submucouuterine myomwere randomly divided into control group (n = 42) and observation group (n = 42). The patientin the control group were given laparotomy treatment,while in the observation group were given hysteroscope treatment. The intraoperative and postoperative conditionbetween the two groupwere recorded and compared. ResultThe operation time, intraoperatve blood volume, postoperative anal exhaustime, postoperative pain intensity (judged by VAS) and hospital stayperiodin observation group were (52. 5 ± 9. 6) rain, ( 84. 6± 16. 7 ) ml, ( 21.5± 3. 6 ) h, ( 3.6±1.4) scoreand (5.4 ± 1.8) d,significanlowethan those in control group( (72. 6 ± 13.4) min, ( 116. 8 ± 28.4) ml, ( 29. 8 ± 5.4 ) h, ( 1.8 ± 0. 5 ) scores, ( 9. 6 ± 2. 4 ) d), and the differencewere significan( = 5.468,4. 263,4. 438,6. 283 ; P = 0. 006,0. 018,0. 024,0. 001,0. 002 ). While the hospitalization costin observation group wa( 7394.9 ± 1164. 8 ) yuan, highethan thaof the control group ( ( 5 428. 9± 824. 5 ) yuan ;= 4. 647,P = 0. 036). There were no statistical significanin termof recurrence rate between the two group( 20.5% vs. 19.6% ; X2 = 0. 236, P = 0. 637 ). Conclusion Treatmenof hysteroscope surgery on submucosal myomof uteruhathe advantageof small traumand quick recovery and iian ideal surgicalmethod fouterine myoma.
出处
《中国综合临床》
2015年第2期180-182,共3页
Clinical Medicine of China