腹腔镜子宫肌瘤剔除术治疗子宫肌瘤116例临床研究

Clinical Study of Laparoscopic Myomectomy in the Treatment of 116 Cases with Uterine Myoma

目的:探讨腹腔镜子宫肌瘤剔除术在治疗116例子宫肌瘤中的临床优势及疗效。方法:调研2013年1月～2015年1月在某院确诊并诊治的116例子宫肌瘤患者,随机分为对照组和观察组各58例,对照组患者自愿选择开腹剔除子宫肌瘤,观察组患者自愿选择经腹腔镜手术剔除子宫肌瘤。调研并统计两组患者围手术期间并术后1年内的临床疗效及并发症发生率。结果:观察组患者1年内的复发率为3.44%,对照组患者1年内的复发率为5.17%,两组间比较无明显差异(P>0.05);观察组患者手术时间(1.6±0.7)h、出血量(195±40.0)ml、住院时间(5.00±2.00)d、胃肠道功能恢复时间、并发症发生率等数据统计均优于对照组,差异显著(P<0.05)。结论:腹腔镜子宫肌瘤剔除术可有效减少术中出血量、手术及住院时间,具有微创口,并发症少,疼痛小等优势,被广大患者接受,值得广泛推广。

Objective To investigate the clinical advantage and effect of laparoscopic myomectomy in the treatment of 116 cases with uterine myoma. Methods： 116 cases of uterine fibroids diagnosed and treated in a hospital from January 2013 to January 2015 were randomly divided into 2 groups with 58 cases in each group （control group and observation group）. Patients in the control group werevoluntarily treated withincision myomectomy; patients in the observation group chose laparoscopic myomectomy operation. The clinical curative effect and complication rate during intraoperative period and 1 year after opration of the two groups were investigated. Results： The incidence of recurrence within 1 years in observation group was 3.44%, the control group with 1 years recurrence rate was 5.17%; there were no significant differences between the two groups（ P 〉0.05）. The operation time of observation group （1.6±0.7）h, bleeding amount（195±40.0）ml, hospitalization time （5±2.00）d, gastrointestinal function recovery time, complication rate statistics were all better than the control group,with significant differences（ P 〈0.05）. Conclusion： With the advantages of effectively reducing intraoperative blood loss, surgical operation or length of hospital stay, minimally invasive, less complications and little pain, laparoscopic myomectomy is widely accepted by the majority of patients,which is worthy of extensive promotion.