子宫肌瘤应用传统开腹和腹腔镜微创治疗的比较

Comparison of traditional open surgery and minimally invasive laparoscopic surgery in treating uterine fibroids

目的:比较子宫肌瘤应用传统开腹和腹腔镜微创治疗的效果及安全性。方法:选取108例子宫肌瘤患者作为研究对象,按照随机数字表法进行分组,对照组和观察组,各54例;对照组采取传统开腹子宫肌瘤剔除术治疗,观察组采取腹腔镜微创子宫肌瘤剔除术治疗;对比两组患者的手术疗效观察指标,综合评价两种治疗方法的安全性。结果:两组患者的剔除肌瘤个数、剔除最大肌瘤直径、肌瘤残留率、肌瘤复发率均无显著性差异(P>0.05),但观察组患者的疗效满意率显著大于对照组(P<0.05);观察组手术时间长于对照组,但无显著性差异(P>0.05);观察组术中出血量显著少于对照组,排气时间、术后住院时间均显著短于对照组,并发症发生率显著小于对照组;两组数据具有显著性差异(P<0.05)。结论:传统开腹和腹腔镜微创子宫肌瘤剔除术治疗子宫肌瘤的疗效相当,与传统开腹术对比,腹腔镜微创术的手术时间略长,但具有创伤性小、术后恢复快、并发症发生少及疗效满意率高优势。

Objective: To compare the effect and safety of traditional open surgery and minimally invasive laparoscopic surgery intreating uterine fibroids. Methods: 108 patients with uterine fibroids were selected and randomly divided into the control group and theobservation group, with 54 cases in each group. The control group was given traditional open surgery while the observation group receivedminimally invasive laparoscopic surgery. Operation curative effect observation indexes of two groups of patients were compared tocomprehensively evaluate the safety of two methods. Results: There was no significant difference in the number of excluded fibroids, themaximum size of the excluded myoma, the residual rate of myoma and the recurrence rate of myoma of two groups (P>0.05), but thesatisfaction of the observation group was significantly better than that of the control group (P<0.05); the operation time of the observationgroup was longer than that of the control group, but the difference was not significance (P>0.05); the operative blood loss, exhaust time,postoperative hospital stay and complication rate of the observation group was significantly shorter than that of the control group, and thedifference was statistically significant (P<0.05). Conclusion: Traditional open surgery and minimally invasive laparoscopic surgery had similareffect in treating uterine fibroids, compared with traditional open surgery, minimally invasive laparoscopic surgery took longer time, but it hadthe advantages of being minimal invasive, rapid postoperative recovery, less complications and high curative effect satisfaction rate.