腹腔镜子宫肌瘤切除术临床效果评估

Clinical Effect Evaluation of Laparoscopic Hysteromyomectomy

目的探讨腹腔镜下行子宫肌瘤切除术的临床治疗效果。方法整群选取2014年3月—2015年4月,该院收治的126例子宫肌瘤患者,将其分为实验组(63例)和常规组(63例),实验组采用腹腔镜子宫肌瘤切除术,常规组采用经腹子宫肌瘤切除术,对比两组患者的术中出血量、手术时间、住院时间、术后并发症、术后消化系统恢复时间等相关指标。结果实验组手术时间为(78.63±10.69)min、术中出血量为(134.6±35.6)m L,明显低于常规组的(96.38±11.69)min、(196.36±32.56)m L,组间差异有统计学意义(P<0.05)。实验组的术后住院时间为(3.69±0.65)d、消化系统恢复时间为(1.43±0.57)h,明显少于常规组的(6.89±0.96)d、(2.06±0.89)h,组间差异有统计学意义(P<0.05)。实验组术后有1例出现并发症,占总数的1.6%,常规组中有9例出现并发症,占总数的14.3%。结论腹腔镜下行子宫肌瘤切除术具有具有创口小、出血少、恢复快、术后并发症少的优势,能够有效缩短住院时间,改善患者生活质量。

Objective To discuss the clinical treatment effect of laparoscopic hysteromyomectomy. Methods 126 cases of u-terine fibroids patients treated in our hospital from March 2014 to April 2015 were selected and divided into experimental group and conventional group with 63 cases in each, the experimental group were given laparoscopic hysteromyomectomy and the conventional group were given transabdominal hysteromyomectomy, intraoperative blood loss, operation time, hospi-tal stay, postoperative complications, recovery time of postoperative digestive system and other related indexes of the two groups were compared. Results The operation time and intraoperative blood loss of the experimental group were respectively （78.63±10.69）min and （134.6±35.6）mL, which were significantly lower than those in the conventional group （96.38±11.69） min and （196.36±32.56）mL, and the difference between the groups was obvious（P〈0.05） and was statistically significant, the postoperative hospital stay and recovery time of postoperative digestive system in the experimental group were respectively （3.69±0.65）d and （1.43±0.57）h, which were significantly less than those in the conventional group （6.89±0.96）d and （2.06± 0.89）h, and the difference between the groups was obvious （P〈0.05）and was statistically significant. In the experimental group, there was 1 case of complications, which was 1.6%in the total, in the conventional group, there were 9 cases of com-plications ,which was 14.3% in the total. Conclusion Laparoscopic hysteromyomectomy has the advantages of small wound, less bleeding, quick recovery, few complications and can effectively shorten the hospital stay and improve the quality of life of patients.