腹腔镜与剖腹子宫肌瘤挖除术临床效果比较分析

Comparative Analysis of Clinical Effects of Laparoscopic and Laparoscopic Uterine Fibroids

目的比较及分析腹腔镜与剖腹子宫肌瘤挖除术的临床效果。方法选取2015年5月—2018年4月间在该院收治的80例子宫肌瘤患者纳入该次研究,所选取的研究对象及家属均知情同意,并通过伦理委员会的批准。随机分为对照组和观察组,每组均分为40例,对照组采取剖腹子宫肌瘤挖除术,观察组采取腹腔镜子宫肌瘤挖除术,分析和比较两组子宫肌瘤患者的手术情况及临床效果。结果观察组的手术时间(65.1±19.3)min、术中出血量(51.0±13.2)mL、术后排气时间(14.1±3.3)h,明显优于对照组差异有统计学意义(t=4.74、5.84、4.22,P<0.05);观察组不良反应总发生率7.5%,显著低于对照组,差异有统计学意义(χ~2=4.882,P<0.05)。结论采取腹腔镜子宫肌瘤挖除术,手术时间短,术中出血量少,术后减少并发症,获得效果显著,显著优于传统剖腹治疗效果,值得临床推广。

Objective To compare and analyze the clinical effects of laparoscopic and laparoscopic myomectomy. Methods 80 patients with uterine fibroids admitted to the hospital from May 2015 to April 2018 were enrolled in this study. The selected subjects and their families were informed and approved by the ethics committee. They were randomly divided into control group and observation group. Each group was divided into 40 cases. The control group underwent laparoscopic uterine fibroids excision. The observation group underwent laparoscopic uterine fibroids excision. The two groups of uterine fibroids were analyzed and compared. Surgery and clinical outcomes were analyzed. Results The operation time of the observation group was （65.1±19.3） min, the intraoperative blood loss （51.0±13.2）mL, and the postoperative exhaust time （14.1±3.3） h, which was significantly better than the control group （t=4.74, 5.84, 4.22, P〈0.05）; the total incidence of adverse reactions in the observation group was 7.5%, which was significantly lower than that of the control group, and the difference was significant （χ2=4.882, P〈0.05）. Conclusion Laparoscopic uterine fibroids removal surgery, short operation time, less intraoperative blood loss, postoperative complications reduction, significant effect, significantly better than traditional laparotomy treatment, worthy of clinical promotion.