传统开腹手术与腹腔镜子宫肌瘤剔除术治疗子宫肌瘤的临床效果比较

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

目的比较传统开腹手术与腹腔镜子宫肌瘤剔除术治疗子宫肌瘤的临床效果。方法将2016年6月—2017年6月的104例子宫肌瘤患者根据数字表法分组。传统组采用传统开腹手术治疗,腹腔镜组采用腹腔镜子宫肌瘤剔除术治疗。比较两组子宫肌瘤治疗效果;手术完成时间、术后24小时切口疼痛评分、术中出血、术后康复时间,手术后并发症发生率。结果腹腔镜组子宫肌瘤治疗效果高于传统组,P<0.05;腹腔镜组手术完成时间、术后24小时切口疼痛评分、术中出血、术后康复时间优于传统组,P<0.05;腹腔镜组手术后并发症发生率低于传统组,P<0.05。结论腹腔镜子宫肌瘤剔除术治疗子宫肌瘤的临床效果优于传统开腹手术,具有微创性和安全性。

Objective To compare the clinical effect of traditional open surgery and laparoscopic myomectomy in the treatment of uterine fbroids. Methods From June 2016 to June 2017, 104 patients with uterine fibroids were grouped according to the digital table method. Traditional group of traditional open surgery, laparoscopic group using laparoscopic myomectomy treatment. Comparison of the two groups of uterine fbroids treatment effect; operation time, 24 hours after incision pain score, intraoperative bleeding, postoperative rehabilitation time, postoperative complications. Results The efficacy of laparoscopic group was higher than that of the traditional group （P 〈 0.05）. The time of operation in laparoscopic group was 24 hours after incision pain, and intraoperative bleeding was better than that of traditional group. The incidence of postoperative complications was lower in the laparoscopic group than in the conventional group （P 〈 0.05）. Conclusion Laparoscopic myomectomy is superior to traditional laparotomy in the treatment of uterine fbroids, which is minimally invasive and safe.