子宫肌瘤运用两种手术剔除方式的疗效比较

Comparison of two kinds of operation mode of uterine fibroids by eliminating

目的研究和探讨腹腔镜手术和开腹手术剔除子宫肌瘤的疗效,为日后临床诊断和治疗提供参考价值。方法选择2013年6月~2014年6月我院接收的子宫肌瘤患者120例,在患者知情同意下,分为使用腹腔镜手术治疗的观察组患者60例,使用开腹手术治疗的对照组患者60例,对比和分析临床疗效。结果观察组患者平均手术时间（88.3±8.9）min,手术出血量（78.3±11.5）m L,平均下床时间（2.4±0.8）天,住院时间（4.4±1.4）天;对照组患者平均手术时间（102.4±11.2）min,手术出血量（147.4±15.0）m L,平均下床时间（6.5±1.1）天,住院时间（6.9±2.3）天。对照组患者手术后伤口感染3例,尿潴留4例,并发症发生率为11.67%;观察组患者手术后伤口感染0例,尿潴留3例,并发症发生率为5.00%,差异有统计学意义。结论使用腹腔镜手术剔除子宫肌瘤可以大大缩短手术和住院时间,减少手术出血量和疼痛感,降低术后并发症的发生率,具有临床推广价值。

Objective To study and explore laparoscopic surgery and laparotomy myomectomy therapy effect, as to provide reference for future clinical diagnosis and treatment. Methods 2013 June to 2014 year in June 120 cases in our hospital received uterine fibroids, informed and consent of patients, divided into 60 cases of the use oflaparoscopic surgery in the treatment of the patients in the observation group, 60 patients in the observation group use the open surgery patients, comparison and analysis of clinical therapeutic effect. Results The patients in the control group the average operative time（88.3±8.9） in, the amount of hemorrhage（78.3±11.5） m L, the average bed time（2.4±0.8） days, the time of hospitalization（4.4±1.4） days; patients in the observation groupthe average operative time（102.4±11.2） min, the amount of hemorrhage（147.4±15） m L, the average bed time（6.5±1.1） days, the time of hospitalization（6.9±2.3） days. The control group patients postoperative woundinfection in 3 cases, 4 cases of urinary retention, the complication rate was 11.67%; observation on 0 cases ofwound infection patients after surgery, 3 cases of urinary retention, the complication rate was 5%, with P0.05 asthe difference has statistical significance, a clinical reference value. Conclusion the use of laparoscopic operationof uterine fibroids removed can greatly shorten the operation time and hospitalization time, reduce the operationamount of bleeding and pain, reduce the incidence of postoperative complications, clinical value.