腹腔镜下子宫肌瘤剔除术与经腹子宫肌瘤剔除术78例的随机对照研究

A Randomized Controlled Study of 78 Cases of Laparoscopic Hysterectomy and Abdominal Hysterectomy

目的分析腹腔镜下子宫肌瘤剔除术(Laparoscopic myomectomy,LM)和经腹子宫肌瘤剔除术(Trans abdominal myomectomy,TAM)的临床效果,为临床治疗提供借鉴。方法对照分析我院78例子宫肌瘤患者在LM和TAM治疗下的临床效果及并发症情况。结果在手术过程和术后指标方面,观察组手术时间长于对照组(P<0.05),住院费用观察组略高(P>0.05)。在术中出血量、术后住院时间、术后排气时间方面均优于对照组,差异具有统计学意义;在术后并发症方面,两组患者均无严重并发症,观察组发生率为5.12%,对照组发生率为17.94%。观察组低于对照组(P<0.05)。结论 LM和TAM在治疗子宫肌瘤方面各有优势,均具有较好的治疗效果,但从术后恢复、患者美观等方面来说LM优于TAM。

Objective To observe the effect of laparoscopic myomectomy（Laparoscopic myomectomy, LM） and transabdominal myomectomy（Trans abdominal, myomectomy, TAM） the clinical effect, to provide reference for the clinical treatment. Methods The clinical effects and complications of 78 cases of uterine fibroids in our hospital in the treatment of LM and TAM were analyzed. Results In the operation process and postoperative indicators, the observation group was significantly longer than that in the control group（P〈0.05）, and the hospitalization expense was slightly higher（P〈0.05）. The amount of intraoperative bleeding, postoperative hospitalization time, postoperative exhaust time were better than the control group, the difference was statistically significant, in the postoperative complication, two patients had no serious complications occurred in the observation group was 5.12%, control group, the incidence rate was 17.94%. The observation group was lower than the control group（P〈0.05）. Conclusion LM and TAM in the treatment of uterine fibroids have advantages, have a good therapeutic effect, but the recovery from the postoperative, the patient＇s aesthetic and other aspects of LM is better than TAM.