腹腔镜子宫肌瘤剔除术与传统开腹手术治疗子宫肌瘤的临床疗效

Clinical curative effect of laparoscopic myomectomy and traditional laparotomy in the treatment of uterine fibroids

目的:探讨腹腔镜子宫肌瘤剔除术与传统开腹手术治疗子宫肌瘤的临床疗效。方法:收治子宫肌瘤患者126例,随机分为研究组和对照组各63例,研究组给予腹腔镜子宫肌瘤剔除术,对照组给予开腹手术疗法,比较两组患者的治疗效果。结果:研究组术后并发症发病率9.52%,对照组31.74%。研究组未见肌瘤残留,术后复发率3.17%,对照组肌瘤残余7.93%,术后复发15.87%。两组比较差异均具有统计学意义(P<0.05)。结论:子宫肌瘤临床发病率高,腹腔镜手术疗效更高,对患者的损伤更小,可提升患者预后。

Objective:To explore the clinical curative effect of laparoscopic myomectomy and traditional laparotomy in the treatment of uterine fibroids.Methods:126 patients with uterine fibroids were selected.They were randomly divided into the study group and the control group with 63 cases in each.The study group was given laparoscopic myomectomy.The control group was given laparotomy.The treatment effects of the two groups were compared.Results:The incidence of postoperative complications in the study group was 9.52%,and the incidence of postoperative complications in the control group was 31.74%.The study group had no residual myoma;the postoperative recurrence was 3.17% ;the residual myoma of the control group was 7.93% ;the postoperative recurrence was 15.87%;the differences were statistically significant(P<0.05).Conclusion:The clinical morbidity of uterine fibroids is high.The curative effect of laparoscopic surgery is more effective.It has less damage to patients.It can improve the prognosis of patients.