腹腔镜下子宫肌瘤治疗分析

Analysis of the Effect of Laparoscopic Hysteromyomectomy

目的探讨腹腔镜下子宫肌瘤的临床治疗效果。方法将2013年11月—2014年11月期间该院妇产科收治的64例子宫肌瘤患者随机分为两组,对照组行传统开腹手术,观察组行腹腔镜下子宫剔除术,比较两组患者的手术时间、出血量、排气时间、住院天数及并发症发生率等。结果观察组的术中出血量为(98.3±33.6)m L,对照组的平均出血量为(146.9±42.3)m L,组间差异有统计学意义(P<0.05);观察组的术后排气时间为(18.9±3.8)d,对照组为(30.2±5.8)d,组间差异有统计学意义(P<0.05);观察组的住院天数为(3.5±1.5)d,对照组为(7.3±2.6)d,组间差异有统计学意义(P<0.05)。两组患者的并发症发生率(均为6.2%)比较差异无统计学意义(P>0.05)。结论腹腔镜下剔除术具有创伤小、恢复快等优点,值得在临床推广。

Objective To investigate the clinical efficacy of laparoscopic hysteromyomectomy. Methods A total of 32 patients with hysteromyoma from November 2013 to November 2014 in Department of Obstetrics and Gynecology of our hospital were randomly divided into two groups： the control group was given traditional open operation, while the observation group adopted laparoscopic hysteromyomectomy. The operation time, blood loss, exhaust time, hospitalization time and the incidence of complications of the two groups were compared. Results The intraoperative blood loss, exhaust time, hospitalization time of the two groups were（98.3±33.6）mL vs（146.9±42.3）mL,（18.9±3.8）d vs（30.2±5.8）d and（3.5±1.5）d vs（7.3±2.6）d, and the differences were statistically significant（P〈0.05）. Both of the incidences of complications of the two groups were 6.2%, therefore the difference was not statistically significant（P〉0.05）. Conclusion Laparoscopic hysteromyomectomy has the advantages of minimal wound and rapid recovery,so it is worth promoting.