腹腔镜与开腹手术剔除治疗有妊娠需求多发子宫肌瘤患者疗效的研究

Efficacy study on laparoscopic and open surgery for the treatment of multiple uterine fibroids patients requiring pregnancy

目的探讨腹腔镜与开腹手术剔除治疗有妊娠需求多发子宫肌瘤患者的疗效。方法 100例有妊娠需求的多发子宫肌瘤患者,随机分为观察组与对照组,各50例。观察组患者给予腹腔镜手术治疗,对照组患者给予开腹手术治疗。比较两组术中出血量、手术时间、术后排气时间、住院时间、术后妊娠率。结果观察组患者术中出血量少于对照组、术后排气时间及住院时间短于对照组,差异均具有统计学意义(t=3.521、4.202、4.602,P<0.05);两组患者手术时间比较,差异无统计学意义(t=1.062,P>0.05)。观察组术后妊娠率为64%,对照组术后妊娠率为66%,比较差异无统计学意义(χ~2=0.044,P>0.05)。结论腹腔镜手术治疗有妊娠需求多发子宫肌瘤创伤较小,患者康复快,且术后妊娠率与开腹手术基本一致。

Objective To investigate the efficacy of laparoscopic and open surgery for the treatment of multiple uterine fibroids patients requiring pregnancy. Methods A total of 100 multiple uterine fibroids patients requiring pregnancy were randomly divided into observation group and control group, with 50 cases in each group. The observation group was treated with laparoscopic surgery, and the control group was treated with open surgery. Comparison were made on intraoperative bleeding volume, operation time, postoperative exhaust time, hospitalization time and postoperative pregnancy rate in two groups. Results The observation group had less intraoperative bleeding volume than the control group, and shorter postoperative exhaust time, hospitalization time than the control group . Their difference was statistically significant （t=3.521, 4.202, 4.602, P〈0.05）. Both groups had no statistically significant difference in operation time （t=1.062, P〉0.05）. The observation group had postoperative pregnancy rate as 64%, which was 66% in the control group, and the difference was not statistically significant （x^2=0-044, P〉0.05）. Conclusion Laparoscopic surgery provides less trauma and rapid recovery in the treatment of multiple uterine fibroids requiring pregnancy. The postoperative pregnancy rate is consistent with that of open surgery.