子宫壁间肌瘤的腹腔镜剔除术与开腹手术的疗效对比

Comparison of laparoscopic and open surgery in the treatment of uterine fibroids

目的比较分析腹腔镜下子宫壁间肌瘤剔除术与传统开腹子宫壁间肌瘤剔除术在子宫壁间肌瘤中的临床疗效。方法将2012年11月至2015年07月间收治的80例子宫壁间肌瘤患者进行临床研究,按随机数字表法将患者分成对照组与观察组,每组40例患者。对照组40例施行传统开腹肌瘤剔除术,观察组40例则施行腹腔镜下肌瘤剔除术。观察两组患者的手术时间、手术出血量、术后住院时间、并发症发生率及月经恢复情况,并进行比较分析。结果观察组的术中出血量(63.71±22.16)m L与术后住院时间(7.21±1.74)d,均明显低于对照组的术中出血量(98.84±39.47)m L与术后住院时间(11.76±1.93)d,差异均有统计学意义(P<0.05)。观察组的术后并发症发生率为(2.5%),对照组的术后并发症发生率为(5.0%),术后随访结果显示,观察组的月经恢复正常率为(95.0%),对照组的月经恢复正常率为(92.50),两组比较,差异无统计学意义(P>0.05)。结论腹腔镜子宫肌壁间肌瘤剔除术具有创伤小、恢复快、出血少、住院时间短、并发症少等优势,值得临床推广应用。

Objective To analyze and compare the clinical effect of laparoscopic uterine muscle wall myoma and traditional open uterine fibroids in the treatment of uterine fibroids. Methods 80 patients with uterine intramural myoma were selected and were randomly divided into control group and study group according to the randomized, controlled, and double - blind principle, each group included 40 patients. In the control group, 40 patients were treated with traditional open abdominal uterine fibroids, and 40 patients in the study group were treated with laparoscopic uterine fibroids. The operation time, bleeding volume, postoperative hospital stay, incidence of complications and the recovery of menstruation of the two groups were observed and recorded. Results The intraoperative bleeding （63.71 ± 22.16） mLand postoperative hospital time （7.21 ±1.74 ＋ ） d in the study group were significantly lower than those in the control group of intraoperative blood loss （98.84 ±39.47） ml and postoperative hospitalization time （ 11.76 1.93） d, and the differences were statistically significant （P 〈 0.05）. The postoperative complications rate was 2.5%, complication rate was 5. 0% of research group. Postoperative follow -up results showed that menstruation recovery rate was 95.0% in study group, and the menstruation recovery rate was 92.50 in control group, two groups compared statistically significant （ P 〉 0. 05 ）. Conclusion Laparoscopic intramural uterine myomectomy has traumatic small, restore fast, less bleeding, shorter hospital stay, fewer complications and advantages, the value of clinical application was excellent than that of the traditional laparotomy. It is worth popularizing.