腹腔镜下子宫肌瘤剔除术与开腹子宫肌瘤剔除术疗效的评价

Evaluation on Curative Effect of Laparoscopic Myomectomy and Transabdominal Myomectomy

目的对腹腔镜下子宫肌瘤剔除术与开腹子宫肌瘤剔除术的临床疗效进行评价。方法方便选取2013年12月—2015年6月期间到该院进行腹腔镜下子宫肌瘤剔除术与开腹子宫肌瘤剔除术治疗子宫肌瘤的患者56例,其中28例进行腹腔镜下子宫肌瘤剔除术,28例进行开腹子宫肌瘤剔除术,比较两组患者住院时间、排气时间及并发症发生率等。结果腹腔镜组患者排气时间(1.4±0.7)d、住院时间(5.4±1.6)d与开腹组(2.6±1.1)d,(10.2±2.1)d相比,均比开腹组短,差异有统计学意义(P<0.05)。并发症发生情况比较结果得,阴道出血、肩背部酸痛两种并发症发生率两组患者差异无统计学意义(P>0.05),腹胀、便秘、切口感染、肠粘连4种并发症发生率差异有统计学意义(P<0.05)。结论从腹腔镜组与开腹组的住院时间、排气时间、并发症发生率比较结果来看,腹腔镜组住院时间和排气时间短、并发症发生率低,应用腹腔镜下子宫肌瘤剔除术治疗子宫肌瘤,比开腹子宫肌瘤剔除术治疗效果好,条件允许情况下推荐临床使用腹腔镜下子宫肌瘤剔除术切除子宫肌瘤。

Objective To evaluate the clinical curative effect of laparoscopic myomectomy and transabdominal myomectomy.Methods 56 cases of fibroid patients receiving laparoscopic myomectomy and transabdominal myomectomy in our hospital from December 2013 to June 2015 were selected, 28 cases were treated with laparoscopic myomectomy, 28 cases were treated with transabdominal myomectomy, the length of stay, exhaust time and incidence rate of complications were compared between the two groups. Results The exhaust time and length of stay in the laparoscopic group were shorter than those in the transabdominal group, and the differences were statistically obvious, P〈0.05, there was no obvious difference in the incidence rates of complications including colporrhagia and shoulder and back aching P〉0.05, the differences in the incidence rates of four complications including abdominal distension, astriction, infection of incisional wound and intestinal adhesion were statistically obvious, P〈0.05. Conclusion Compared with the transabdominal group, the length of stay and exhaust time are short and the incidence rate of complications is low, the effect of the application of laparoscopic myomectomy in treatment of fibroid is better than that of the transabdominal myomectomy, and it is recommended to apply the laparoscopic myomectomy for the resection of fibroids in clinic if conditions permit.