不同手术方式治疗子宫肌瘤的效果比较及其安全性

Clinical Effect Comparison and Safety of Different Surgical Methods in the Treatment of Uterine Fibroid

目的比较不同手术方式治疗子宫肌瘤的临床效果及其安全性。方法选取中国人民解放军第九五医院2015年7月—2016年7月收治的子宫肌瘤患者72例,按照手术方式不同分为对照组与观察组,各36例。对照组予以传统开腹手术治疗,观察组予以腹腔镜下子宫肌瘤切除术治疗,比较两组患者术后指标(阴道出血时间、下床时间、住院时间)、不同时间点疼痛评分,术后随访6个月,观察两组患者不良反应发生情况。结果观察组患者阴道出血时间、下床时间、住院时间短于对照组(P<0.05)。术后6h和24h,观察组患者疼痛评分低于对照组(P<0.05);术后72h,两组患者疼痛评分比较,差异无统计学意义(P>0.05)。观察组患者术后并发症发生率低于对照组(P<0.05)。结论与传统开腹手术比较,腹腔镜下子宫肌瘤切除术治疗子宫肌瘤的临床效果确切,对患者创伤小,患者术后恢复快,且安全性较高。

Objective To compare the clinical effect and safety of different surgical methods in the treatment of uterine fibroid.Methods A total of72cases of patients with uterine fibroid were selected from July2015to July2016in the95Hospital of the PLA,which were divided into control group and observation group according to different operation modes,36cases in each group.The control group was treated with traditional laparotomy,observation group was treated with laparoscopic uterine myomectomy.The postoperative indexes(vagina bleeding time,out of bed time and length of stay),pain scores at different time points were compared between the two groups,After6months of follow-up,the incidence of adverse reactions were observed.Results The observation group of vagina bleeding time,out of bed time and length of stay were shorter than control group(P<0.05).After operation of6h and24h,the pain scores of observation group were lower than those in control group(P<0.05).After operation of72h,there was no significant difference of pain scores between the two groups(P>0.05).The incidence rate of postoperative complications in observation group was lower than that of control group(P<0.05).Conclusion Compared with traditional open surgery,laparoscopic hysteromyomectomy has a effectively clinical effect in treating uterine fibroids,with less trauma,faster postoperative recovery and higher safety.