腹腔镜下肌瘤剥除术治疗巨大宫颈肌瘤的临床效果和安全性

Clinical efficacy and safety of laparoscopic resection of giant cervical myoma

目的探讨腹腔镜下肌瘤剥除术治疗巨大宫颈肌瘤的临床疗效和安全性。方法选取2009年10月至2014年10月间收治的46例巨大宫颈肌瘤患者,采用随机数字表法分为治疗组和对照组,每组23例。治疗组患者行腹腔镜下肌瘤剥除术,对照组患者行开腹手术。回顾性分析两组患者的临床资料。结果治疗组患者的平均出血量、肛门排气时间、住院时间以及术后并发症发生率均低于对照组,差异均有统计学意义(P<0.05);两组患者手术时间的差异无统计学意义(P>0.05)。结论腹腔镜下肌瘤剥除术治疗巨大宫颈肌瘤的临床疗效显著,值得临床推广应用。

Objective To investigate the clinical efficacy and safety of laparoscopic surgery for the treatment of giant cervical myoma. Methods From October 2014 to October 2009,46 cases of giant cervical myoma treated in The Second People＇s Hospital of Yibin were selected and divided into the treatment group and the control group,with 23 cases in each group. In the treatment group,the patients were treated with laparoscopic surgery,and the control group was treated with open operation. The clinical data of 46 cases were retrospectively analyzed. Results The average amount of bleeding,anal exhaust time,hospitalization time and postoperative complication rate of the treatment group were less than those of the control group,with significant difference（ P〈0. 05）. The operation time of two groups had no significant difference（ P〉0. 05）. Conclusion The clinical efficacy of laparoscopic treatment of large uterine fibroids with uterine fibroids is remarkable,and it is worthy of clinical popularization and application.