腹腔镜子宫肌瘤剔除术与传统开腹手术治疗子宫肌瘤患者的临床效果对比

Comparison of Clinical Effect of Laparoscopic Hysteromyoma and Traditional Open Surgery in Treatment of Patients with Hysteromyoma

目的探讨腹腔镜子宫肌瘤剔除术与传统开腹手术治疗子宫肌瘤患者的临床效果。方法选取于2016年12月—2017年12月期间,在该院接受治疗的子宫肌瘤患者92例,采用奇偶分组法将患者分为两组,对照组患者接受传统开腹手术治疗,实验组患者接受腹腔镜子宫肌瘤剔除术治疗,对两组患者的手术指标、并发症情况和术后近期疗效进行观察对比。结果实验组患者的术中出血量、手术时间、首次排气时间、住院时间和住院费用等手术指标,均优于对照组(P<0.05);实验组患者并发症发生几率为6.52%,低于对照组发生几率(30.43%)(P=0.003);实验组患者的症状缓解率、子宫肌瘤复发率和子宫异常率与对照组对比,差异无统计学意义(P>0.05)。结论子宫肌瘤患者接受腹腔镜子宫肌瘤剔除术治疗,可以减少对患者的创伤,提高患者术后的恢复速度,值得推广应用。

Objective To study the clinical effect of laparoscopic hysteromyoma and traditional open surgery in treatment of patients with hysteromyoma. Methods 92 cases of patients with hysteromyoma admitted and treated in our hospital from December 2016 to December 2017 were selected and randomly divided into two groups, the control group and the experimental group were respectively treated with traditional open surgery and laparoscopic hysteromyoma, and the operative indexes, occurrence of complications and short-term curative effect after surgery were compared between the two groups. Results The intraoperative bleeding amount, operative time, first exhaust time, length of stay and hospitalization cost in the experimental group were better than those in the control group（P0.05）, and the occurrence probability of complications in the experimental group was lower than that in the control group（6.52% vs 30.43%）（P=0.003）,and the differences in the system relief rate, recurrence rate of hysteromyoma and abnormal rate of uterus between the two groups were not statistically significant（P0.05）. Conclusion The laparoscopic Hysteromyoma in treatment of patients with hysteromyoma can reduce the wound of patients and improve the recovery rate of patients after surgery, and it is worth promotion and application.