腹腔镜与经腹子宫肌瘤剔除术对患者的影响

The Effect of Laparoscopic Myomectomy and Hysteromyomectomy on Postoperative Pregnancy in Patients With Hysteromyoma

目的探讨腹腔镜子宫肌瘤剔除术与经腹子宫肌瘤剔除术对子宫肌瘤患者术后妊娠的影响。方法选取2016年1月—2017年9月到我院就诊的76例子宫肌瘤患者作为研究对象,将其随机分为观察组和对照组。对照组患者行经腹子宫肌瘤剔除术,观察组行腹腔镜子宫肌瘤剔除术,观察两组患者妊娠状况。结果观察组术中、术后指标水平较对照组较低,差异具有统计学意义(P<0.05);两组患者妊娠率和流产率相比,差异不具有统计学意义(P>0.05);观察组患者的术后并发症发生率为5.3%,与对照组患者的21.1%相比较,差异具有统计学意义(P<0.05)。结论腹腔镜子宫肌瘤剔除术与经腹子宫肌瘤剔除术均安全、有效,腹腔镜子宫肌瘤剔除术的术后并发症发生率比较低,术后恢复快。

Objective To investigate the effect of laparoscopic myomectomy and myomectomy on the postoperative pregnancy of the patients with hysteromyoma. Methods 76 cases of uterine fibroids from January 2016 to September 2017 were selected as the research subjects. They were randomly divided into the observation group and the control group. The patients in the control group were treated with abdominal myomectomy, Laparoscopic myomectomy was performed in the observation group. The pregnancy status of the two groups was observed. Results The intraoperative and postoperative indexes of the observation group were lower than those of the control group, and the difference was statistically significant（P〈 0.05）. There was no significant difference in pregnancy rate and abortion rate between the two groups（P〉 0.05）. The incidence of postoperative complications in the observation group was 5.3%, compared with 21.1% in the control group, the difference was statistically significant（P 〈0.05）. Conclusion Laparoscopic myomectomy and hysteromyomectomy are safe and effective. The incidence of postoperative complications of laparoscopic myomectomy is low, and the postoperative recovery is fast.