腹腔镜下多发子宫肌瘤剔除术的临床疗效分析

Clinical effect analysis of laparoscopic multiple myomectomy

目的探讨腹腔镜下多发子宫肌瘤剔除术的临床疗效。方法选取2013年1月~2015年12月我院妇科接受检查和治疗200例多发子宫肌瘤患者为观察对象,采用随机数字表法将其分为对照组、实验组,每组100例。对照组接受常规开腹手术治疗,实验组接受腹腔镜下多发子宫肌瘤剔除术治疗,比较两组临床疗效。结果实验组患者的手术时间、肛门排气时间、离床时间和住院时间均显著短于对照组,书中出血量少于对照组,术后镇痛药物使用率低于对照组,差异有统计学意义(P<0.05)。实验组患者术后12、24个月复发率,以及切口愈合不良和术后盆腔感染等并发症发生率均显著低于对照组,差异有统计学意义(P<0.05)。结论多发子宫肌瘤患者接受腹腔镜下剔除手术治疗,有助于患者术后复发率和并发症发生率的降低,且手术效果较好,术后恢复速度较快。

Objective To investigate the clinical efficacy of laparoscopic multiple myomectomy.Methods From January2013 to December 2015 in our hospital gynecological examination and treatment of 200 patients with multiple uterine fibroids as the observation object,using random number table method was divided into the control group and the experimental group,100 cases in each group.The control group was treated by conventional open surgery,while the experimental group was treated by laparoscopic myomectomy.The clinical efficacy of the two groups was compared.Results The operation time,anal exhaust time,bed time and hospitalization time in the experimental group were significantly shorter than those in the control group,the amount of bleeding in the books was less than that in the control group,and the postoperative analgesic drug utilization rate was lower than that in the control group,the differences were statistically significant（P〈0.05）.The recurrence rate at 12,24 months after operation,and the incidence of postoperative complications such as poor wound healing and pelvic infection in the experimental group were significantly lower than those in the control group（P〈0.05）.Conclusion Patients with multiple myoma of uterus undergone laparoscopic myomectomy is helpful to reduce the recurrence rate and the incidence of complications in a favorable effect and quick postoperative recovery.