腹腔镜下子宫肌瘤剔除术与开腹手术的临床疗效对比

Comparison of Clinical Efficacy of Laparoscopic Myomectomy and Laparotomy

目的探究子宫肌瘤治疗中行开腹手术与腹腔镜下子宫肌瘤剔除术的治疗效果及安全性。方法方便选择该院2013年1月—2015年12月收治的180例子宫肌瘤患者,随机分为观察组和对照组,各90例,观察组腹腔镜手术,对照组以开腹手术进行治疗,术后对两组患者手术的情况,并发症发生情况等进行比较。结果观察组经腹腔镜手术后,其手术时间为(117.25±22.74)min,术中出血量(87.27±37.85)m L,术后首次排气时间(11.09±7.33)h,术后下床时间(15.15±3.06)h与对照组比较差异有统计学意义(P<0.05);观察组并发症发生率为0.00%,显著低于对照组3.33%(P<0.05)。结论子宫肌瘤应用腹腔镜下子宫肌瘤剔除术创伤小,子宫肌瘤剔除彻底,患者术中出血量少且术后恢复快,有效改善患者预后,患者术后康复效果满意。

Objective This paper tries to explore the therapeutic effect and safety of laparotomy and laparoscopic myomectomy in the treatment of uterine fibroids. Methods 180 cases of uterine fibroids treated in this hospital from January 2013 to December 2015 were randomly divided into the observation group and the control group, with 90 cases in each group. The observation group was treated with laparoscopic operation and the control group was treated with open surgery, and operation situation and the occurrence of complications were compared between the two groups after surgery. Results In the observation group, the operation time was（117.25 ±22.74） min, the intraoperative blood loss was（87.27 ±37.85）mL, the first postoperative ventilation time was（11.09±7.33）h,（15.15±3.06）h, significantly different from that of the control group（P〈0.05）.The incidence of complications in the observation group was 0.00%, which was significantly lower than that in the control group of 3.33%（P 〈0.05）. Conclusion Laparoscopic myomectomy is effective in the treatment of uterine leiomyoma with small trauma, and uterine myoma is completely removed, the blood loss is less and the postoperative recovery is quicker,and the prognosis of the patients is improved. The patient＇s rehabilitation effect is satisfactory.