传统开腹手术与腹腔镜手术治疗子宫肌瘤的临床效果比较

Comparison of the Clinical Effects of Traditional Laparotomy and Laparoscopic Surgery for Uterine Fibroids

目的研讨子宫肌瘤实施传统开腹手术与腹腔镜手术治疗的临床价值。方法选择我院2017年6月至2018年6月诊疗的126例子宫肌瘤患者参与实验,按随机数表法进行分组,对照组(n=63)接受传统开腹手术处理,研究组(n=63)在腹腔镜手术下剔除肌瘤,对两组的手术处理情况进行观察与评估。结果研究组除手术时间与对照组相比无统计学意义(P> 0.05)外,其余指标包括术中出血量、术后肛门排气时间、住院时间等均显著优于对照组,比较有统计学意义(P<0.05)。两组实验期间均有出现切口疼痛、切口感染等并发症,但研究组总发生率显著低于对照组,比较有统计学意义(P<0.05)。结论相比传统开腹手术,对子宫肌瘤患者施以腹腔镜手术治疗有更确切的临床效果,并且手术安全更有保障,值得推荐。

Objective To study the clinical value of traditional open surgery and laparoscopic surgery for uterine fibroids. Methods 126 patients with uterine fibroids who were diagnosed and treated in our hospital from June 2017 to June 2018 were selected to participate in the experiment. The patients were divided into groups according to the random number table method. The control group（n =63） received conventional open surgery and the study group（n =63） The fibroids were removed under laparoscopic surgery. The surgical treatment of the two groups was observed and evaluated. Results In the study group, there was no significant difference in operation time compared with the control group（P〉0.05）, and the other indexes, including intraoperative bleeding, postoperative anus exhaust time and hospitalization time, were significantly better than those in the control group. The comparison was statistically significant（P〈0.05）. There were complications such as incision pain and incision infection during the two groups, but the total incidence of the study group was significantly lower than that of the control group, with a statistically significant difference（P〈0.05）. Conclusion Compared with traditional open surgery, laparoscopic surgery for uterine fibroid patients has a more precise clinical effect, and the surgical safety is more secure and worth recommending.