腹腔镜子宫肌瘤剔除术的治疗效果及安全性研究

Clinical effectiveness and safety of laparoscopic myomectomy in patients with fibroid

目的探讨腹腔镜子宫肌瘤剔除术对子宫肌瘤的治疗效果及安全性。方法回顾性分析2014年1月~2016年7月于我院确诊的90例子宫肌瘤患者资料,其中45例患者行子宫肌瘤剔除术,45例患者行子宫全切除术,比较两组患者术中、术后及随访情况。结果观察组患者术中出血量少于对照组,手术时间、肛门排气时间及住院时间短于对照组,差异均有统计学意义(P<0.05)。两组患者手术前后血清促性腺激素(FSH)、黄体生成素(LH)、雌激素(E2)水平无明显变化。结论腹腔镜子宫肌瘤剔切除术具有微创、手术安全性高、术后并发症少等优点,值得临床推广应用。

Objective To investigate the clinical effectiveness and safety of laparoscopic myomectomy in patients with fibroid. Methods Clinical records of 90 patients with diagnosed fibroid in our hospital from January, 2014 to July, 2016 were retrospectively analyzed. Out of them, 45 patients were treated with myomectomy and 45 patients were treated with hysterectomy. The health condition during and after operation as well as during the follow-up in two groups was compared. Results Blood loss during operation in observation group was less than that in control group（P〈0.05）. The duration of operation, anal exhaust time and hospitalization time in observation group were shorter than those in control group（P〈0.05）.The levels of gonadotropin（FSH）, luteinizing hormone（LH） and estrogen（E2） in two groups before and after operation did not change significantly. Conclusion Laparoscopic myomectomy in patient with fibroid was minimal invasive, safe and with little postoperative complications. It was worth clinical promotion and application.