开腹手术和腹腔镜治疗子宫肌瘤的临床效果对比

Comparison of Clinical Effect of Open Surgery and Laparoscopic in the Treatment of Uterine Fibroids

目的对比分析子宫肌瘤实施开腹手术治疗和腹腔镜手术治疗的临床效果。方法选取我院2015年3月—2017年3月收治的子宫肌瘤患者100例作为研究对象。将其随机分为两组,其中参照组(50例)给予开腹手术治疗,实验组(50例)给予腹腔镜治疗手术。结果参照组的手术时间和住院天数均长于实验组,差异具有统计学意义(P<0.05)。参照组术中出血量多于实验组,但组间对比,差异不具有统计学意义(P>0.05)。实验组术后疼痛、切口感染、尿潴留、肠粘连的发生率均低于参照组,差异具有统计学意义(P<0.05)。结论子宫肌瘤实施腹腔镜手术治疗效果确切,与开腹手术进行比较具有术中出血量少和术后并发症少等优势,可以更好地促进患者的术后恢复。

Objective To compare the clinical effect of laparotomy and laparoscopic surgery in the treatment of uterine fibroids. Methods 100 cases of hysteromyoma patients treated in our hospital from March 2015 to March 2017 were selected as the research objects. The patients were randomly divided into two groups, in which the reference group （50 cases） was treated with open surgery, and the experimental group （50 cases） received laparoscopic treatment. Results The operation time and length of stay in the reference group were longer than those in the experimental group, and the difference was statistically significant （P〈0.05）. The inl^aoperative blood output of the reference group was higher than that of the experimental group, but the difference between the two groups was not statistically significant （P〉0.05）. The incidence of postoperative pain, incision infection, urinary retention and intestinal adhesion in the experimental group were lower than those in the reference group, the difference was statistically significant （P〈0.05）. Conclusion Laparoscopic operation for myoma of uterus has definite effect. Compared with laparotomy, it has advantages of less bleeding and less postoperative complications. It can better promote the recovery of postoperative patients.