腹腔镜与开腹手术治疗子宫肌瘤的效果对比及对免疫功能的影响

Effect comparision of laparoscope and laparotomy treating uterine fibroid and its influence on immune function

目的探讨腹腔镜与开腹手术治疗子宫肌瘤的效果及对免疫功能的影响。方法抽取我院妇科2015年2月~2016年8月收治的子宫肌瘤手术患者124例为研究对象,以选择的手术方式分组:对照组(n=62)行开腹手术治疗,实验组(n=62)行腹腔镜子宫肌瘤剔除术治疗。比较两组的治疗效果,并观察免疫功能变化情况。结果实验组的术中出血量明显少于对照组,术后下床活动时间、胃肠功能恢复时间及住院时间均明显短于对照组(P<0.05)。实验组术后免疫指标水平明显高于对照组(P<0.05)。实验组的总并发症发生率、复发率显著低于对照组(P<0.05)。结论与开腹手术比较,腹腔镜手术在子宫肌瘤治疗中近期、远期效果更佳,且对免疫功能影响小,并发症少,值得借鉴。

Objective To investigate the effect of laparoscope and laparotomy treating uterine fibroid and its influence on immune function.Methods 124 patients with uterine fibroid treated in department of gynaecology of our hospital from February 2015 to August 2016 were extracted as object.The patients were grouped by operation method：the control group （n=62） was treated with laparotomy,while the experimental group （n=62） was treated with laparoscopic myomectomy. The treatment effect between the two groups was compared and the change of immune function was compared.Results The bleeding amount during operation in the experimental group was significantly fewer than that in the control group, and the postoperative ambulation time,the recovery time of gastrointestinal function and the hospitalization time in the experimental group were significantly shorter than those in the control group （P〈0.05）.The level of immune index in the experimental group was significantly higher than that in the control group after operation （P〈0.05）.The total incidence of complications and recurrence rate in the experimental group were significantly lower than those in the control group （P〈0.05）. Conclusion Compared with laparotomy,laparoscopic surgery has better short-term and longterm effect in the treatment of uterine fibroids,and has fittle influence on immune function and fewer complications.It is worthy of reference.