开腹子宫肌瘤剔除术的临床研究

Clinical Study of Myomectomy in Laparotomy

目的探讨开腹子宫肌瘤剔除术治疗子宫肌瘤患者的临床疗效及应用价值。方法选取2015年2月至2017年2月我院收治的60例子宫肌瘤患者。60例患者均经妇科检查或者B超确诊。按照手术方式分为两组。开腹组34例给予开腹子宫肌瘤剔除,腹腔镜组26例给予腹腔镜子宫肌瘤剔除术。术后统计患者手术时间、排气时间、手术并发症等相关指标。结果开腹子宫肌瘤剔除术相较于腹腔镜手术,所花费的手术时间更短,但术中出血量多于腹腔镜组,在术后排气时间上也长于腹腔镜,均对比差异显著(P<0.05)。结论应用腹腔镜子宫肌瘤剔除术治疗子宫肌瘤临床各项指标较优,具有切口美观、术中出血量少以及创伤小等诸多优势,但尚不能取代开腹子宫肌瘤剔除术。

Objective To investigate the clinical efficacy and application value of myomectomy in patients with uterine myoma. Methods Selected 60 patients with uterine fibroids who were admitted to our hospital from February 2015 to February 2017. All 60 patients were diagnosed with gynecological examination or B-ultrasound. According to the surgical method is divided into two groups. 34 cases were treated with open myomectomy and 26 cases were treated with laparoscopic myomectomy. Postoperative operative time, exhaust time, operative complications and other related indicators were recorded. Results Compared with laparoscopie surgery, laparotomy had a shorter operative time, but the amount of intraoperative blood loss was more than that of laparoscopic group, and the duration of postoperative exhalation was longer than laparoscopy, the difference is significant （P〈0.05）. Conclusion The application of transabdominal myomectomy for the treatment of uterine flbroids has better clinical indicators, such as beautiful incision, less intraoperative blood loss and less invasiveness, but it can not be used as a substitute for open myomectomy.