腹腔镜子宫肌瘤剔除术治疗后肌瘤残留、复发及妊娠结局的临床分析

Clinical analysis of residual myoma,recurrence and pregnancy outcome after laparoscopic myomectomy

目的:观察并分析腹腔镜子宫肌瘤剔除术治疗后肌瘤残留和复发情况及对妊娠结局的影响。方法:选取82例子宫肌瘤患者为研究对象,依据信封法分为对照组和观察组两组,对照组采取开腹子宫肌瘤剔除术治疗,观察组则采取腹腔镜子宫肌瘤剔除术治疗,各41例。比较两组病患的住院时间、肌瘤残留率、肛门排气时间。结果:住院时间、肌瘤残留率、肛门排气时间观察组均低于对照组,差异有统计学意义(P<0.05),两组复发率及妊娠率比较,差异无统计学意义(P>0.05)。结论:腹腔镜子宫肌瘤剔除术可有效提高患者术后康复速度,降低肌瘤残留率,复发率较低,妊娠结局良好。

Objective To observe and analyze the residual status of myoma after laparoscopic myomectomy and its influence on recurrence and pregnancy outcome. Method 82 patients with uterine fibroids were selected as the research object,according to the envelope method,they were divided into the control group and observation group,the control group was treated with laparotomy myomectomy,the observation group was treated with laparoscopic myomectomy,41 cases in each group. The hospital stay,the residual rate of myoma,and the time of anal exhaust were compared between the two groups. Results The hospital stay,the residual rate of myoma,and the time of anal exhaust in the observation group were lower than that of the control group（P〈0. 05）. There was no significant difference between the recurrence rate and the pregnancy rate（P〈0. 05）. Conclusion Laparoscopic myomectomy can effectively improve the postoperative recovery rate,reduce the residual rate of fibroids,the recurrence rate is low,the pregnancy outcome is good