开腹与腹腔镜下子宫肌瘤剔除术对多发或巨大子宫肌瘤的效果比较研究

A Comparative Study of Laparoscopic and Laparoscopic Myomectomy for Multiple or Giant Uterine Fibroids

目的将开腹子宫肌瘤剔除术与腹腔镜下子宫肌瘤剔除术应用于多发或巨大子宫肌瘤患者中,比较及研究临床效果。方法该文实验分析的目标是2015年4月—2017年10月在该医院接受临床手术治疗的60例多发或巨大子宫肌瘤患者,实验开展分组的方法是随机数字法,每组纳入30例,开腹子宫肌瘤剔除术实施在参照组,腹腔镜下子宫肌瘤剔除术实施在实验组,关注和统计两组患者的临床效果。结果参照组患者的术中出血量、术后恢复排气用时、住院时间、2级及3级疼痛总计率、并发症总计率与实验组患者相关数据实行对比[(102.0±14.0)、(26.0±4.4)、(10.7±1.0)、26.67%、20.00%对比(86.0±10.2)、(15.7±2.0)、(3.8±0.4)、6.67%、3.33%),t=5.059 3、11.6724、35.089 7,χ~2=4.320 0、4.043 1,P<0.05)。结论对多发或巨大子宫肌瘤患者开展腹腔镜下子宫肌瘤剔除术的临床效果对比开腹子宫肌瘤剔除术更优。

Objective Laparotomy myomectomy and laparoscopic myomectomy are used in patients with muhiple or large uterine fibroids to compare and study clinical outcomes. Methods The objective of this article＇s experiment anal- ysis was 60 patients with muhiple or giant uterine fibroids undergoing clinical surgery in the hospital from April 2015 to October 2017. The experimental grouping method was a random number method, and each group included 30 pa- tients. Abdominal myomeetomy was performed in the reference group, and laparoseopie myomeetomy was performed in the experimental group to focus on and count the clinical effects of the two groups of patients. Results The intraopera- rive blood loss, postoperative recovery time, length of hospital stay, grade 2 and 3 pain total rate, and total complication rate of the reference group were compared with those of the experimental group [（102.0±14.0）,（26.0±4.4）,（10.7±1.0）, 26.67%, 20.00% vs. （86.0±10.2）, （15.7±2.0）, （3.8±0.4）, 6.67%, 3.33%]（t=5.059 3, 11.672 4, 35.089 7, X2=4.320 0, 4.043 1, P〈0.05）, indicating data validation of statistical significance. Conclusion The clinical efficacy of laparoseopie myomeetomy in patients with muhiple or giant uterine fibroids is superior to open myomeetomy.