腹腔镜微创术治疗子宫肌瘤疗效及安全性分析

Curative effect and safety analysis of laparoscopic minimally invasive surgery on uterine fibroid

目的分析腹腔镜微创手术治疗子宫肌瘤的临床效果和安全性。方法将2013年11月至2014年10月在我院进行诊治的83例子宫肌瘤患者作为研究对象,在征询患者本人同意后,使用双盲法将83例患者分为观察组(n=42)以及对照组(n=41)。对照组采用常规开腹手术治疗,观察组采用腹腔镜微创手术治疗,就两组患者的治疗结果进行比较。结果观察组患者的手术时间、术后排气时间及住院时间均短于对照组,术中失血量少于对照组(P<0.05)。观察组患者治疗后的VAS评分低于对照组,生理健康、社会功能、精神状态评分均高于对照组(P<0.05)。观察组患者并发症总发生率为2.38%(1/42),低于对照组的17.07%(7/41)(χ~2=5.1420,P=0.0233)。观察组患者的复发率为2.38%(1/42),低于对照组的14.63%(6/41)(χ~2=4.0336,P=0.0446)。结论相比于传统开腹手术,经腹腔镜微创手术在子宫肌瘤的治疗中效果和安全性都具有明显的优势,临床中可将该方法作为首选治疗措施。

Objective To analyze the clinical effect and safety of laparoscopic minimally invasive surgery on uterine fi- broid. Methods A total of 83 cases of patients with uterine fibroid from November 2013 to October 2014 in our hospital were selected as the study objects, and divided into observation group （n=42） and control group （n=41） by double-blind method after consultation with the patients. The control group taken conventional open surgery treatment, while the obser- vation group were treated with laparoscopic minimally invasive surgery treatment. The treatment effects were compared in the two groups. Results The operation time, postoperative exhaust time and hospital stay in the observation group were shorter than those in the control group, the intraoperative blood loss in the observation group was less than that in the control group （P〈0.05）. The VAS score of the observation group was lower than that of the control group, and the scores of physical health, social function and mental status were higher than those of the control group （P〈0.05）. The overall incidence of complications in the observation group was 2.38% （1/42）, which was lower than 17.07% （7/41） of the control group （χ2=5.1420, P=0.0233）. The recurrence rate was 2.38% （1/42） in the observation group, which was lower than 14.63% （6/41） of the control group （χ2=4.0336, P=0.0446）. Conclusion Compared the conventional open surgery, laparo- scopic minimally invasive surgery on uterine fibroids have obvious advantages on the effect and safety, this method can be used as the first choice of treatment measures.