腹腔镜子宫肌瘤剔除术与开腹手术治疗子宫肌瘤的临床效果比较

Clinical effect comparison of laparoscopic hysteromyomectomy and laparotomy in the treatment of myoma of uterus

目的探讨微创腹腔镜子宫肌瘤剔除术与传统开腹手术治疗子宫肌瘤的临床疗效。方法选择我院2014年2月~2015年6月收治的子宫肌瘤患者70例作为研究对象,将其随机分成研究组和对照组各35例,对照组采用传统开腹手术治疗子宫肌瘤,研究组采用微创腹腔镜子宫肌瘤剔除术。观察两组的手术时间、排气时间、术后住院时间、术中出血量、月经周期与持续天数。结果研究组的手术时间、排气时间以及术后住院时间均明显短于对照组（P〈0.05）;术中出血量明显少于对照组,差异有统计学意义（P〈0.05）。随访3个月,研究组的月经周期与持续天数与对照组差异无统计学意义（P〉0.05）。结论腹腔镜子宫肌瘤剔除术是治疗子宫肌瘤理想的微创手术方法,具有术后恢复快、术后用药少、住院时间短、切口外观整洁等较多优点,值得临床推广应用。

Objective To explore the clinical effect of laparoscopic hysteromyomectomy and laparotomy in the treatment of myoma of uterus.Methods From February 2014 to June 2015,70 patients with myoma of uterus admitted into our hospital were selected as research objects and evenly divided into research group and control group.In the control group,traditional laparotomy was used,while in the research group laparoscopic hysteromyomectomy was adopted.Operation time,exhaust time,postoperative hospital stays,the amount of bleeding during surgery,menstrual cycle and duration were observated.Results Operation time,exhaust time,and postoperative hospital stays in the research group was greatly shorter than that in the control group respectively（P〈0.05）.The amount of bleeding during surgery was lower than that in the control group with statistical differences（P 〈0.05）.After 3-month follow up visits,menstrual cycle and duration was not greatly different in comparison with that in the control group（P 〉0.05）.Conclusion Laparoscopic hysteromyomectomy is an ideal minimal-invasive surgical method on treating myoma of uterus with advantages of quick recovery after surgery,few medication after surgery,short hospital stays,and clean and tidy appearance of incision,which is worthy of extensive promotion and application in clinic.