腹腔镜手术和开腹手术治疗巨大子宫肌瘤的临床对比分析

Clinical Comparative Analysis of Laparoscopic Surgery and Open Surgery in the Treatment of Large Uterine Fibroids

目的探讨腹腔镜手术和开腹手术治疗巨大子宫肌瘤的临床效果。方法方便选取该院2015年2月—2016年2月收治的120例巨大子宫肌瘤患者,随机分成两组,观察组患者采用腹腔镜手术疗法治疗,对照组患者采用开腹手术疗法治疗,对比两组患者的手术以及预后效果。结果观察组有效率91.67%(55/60),对照组有效率73.33%(44/60),观察组患者的术后并发症的发生率为6.67%(4\60),对照组患者的术后并发症的发生率为21.67%(13/60);两组患者上述指标差异有统计学意义(P<0.05)。结论腹腔镜手术治疗巨大子宫肌瘤有较高的治疗有效率,手术时间较短,减少手术出血量,手术并发症的发生率低,值得临床推广。

Objective To investigate the clinical effect of laparoscopic surgery and open surgery in the treatment of large u-terine fibroids. Methods Convenient selection select our hospital from February 2015 to February 2016 treated 120 cases of giant hysteromyoma patients were randomly divided into two groups, the observation group were treated by laparoscopic sur-gical therapy in the treatment of, in the control group were treated with open surgery therapy, compared two groups of pa-tients with operation effect and prognosis. Results Observation group, the effective rate was 91.67%（55／60） and the control group, the effective rate was 73.33% （44／60） and observation group patients after the incidence of complications was 6.67%（4／60）. In the control group of patients after the incidence of complications for 21.67% （13／60）; two groups of patients with the index difference has statistical significance （P〈 0.05）. Conclusion Laparoscopic surgery in the treatment of large uter-ine fibroids have high treatment efficiency, shorter operation time, reduce the amount of bleeding, the incidence of surgical complications is low, it is worthy of clinical promotion.