腹腔镜下子宫肌瘤剔除术治疗子宫肌瘤的临床观察

Clinical Observation of Hysteromyoma Removal by Laparoscopy in the Treatment of Hysteromyoma

目的探讨腹腔镜下子宫肌瘤剔除术治疗子宫肌瘤的临床效果。方法选取2016年1月~12月我院收治的子宫肌瘤患者60例为研究对象,根据手术方法将患者分为对照组和观察组,每组30例。对照组患者接受开腹手术治疗,观察组患者接受腹腔镜下子宫肌瘤剔除术治疗。比较两组患者手术情况、术后恢复情况及术后并发症发生情况。结果观察组患者手术时间、术中出血量、术后胃肠功能恢复时间和住院时间均优于对照组,差异均有统计学意义(P<0.05);观察组术后并发症发生率为6.67%,低于对照组的30.00%,差异有统计学意义(P<0.05)。结论腹腔镜下子宫肌瘤剔除术治疗子宫肌瘤的临床效果显著,且术后并发症少,值得在临床推广应用。

Objective To investigate the clinical effect of laparoscopic hysteromyomectomy in the treatment of uterine leiomyoma.Methods From January to December 2016,60 patients with uterine leiomyoma were divided into control group and observation group,30 cases in each group.The patients in the control group were treated with laparotomy,and the patients in the observation group were treated with hysteromyomectomy under laparoscope.The operation,postoperative recovery and postoperative complications were compared between the two groups.Results The time of operation,the amount of blood lost during operation,the time of recovery of gastrointestinal function and the time of hospitalization in the observation group were better than those in the control group,the differences were statistically significant(P<0.05);the complication rate was 6.67%after operation in the observation group,30.00%lower than the control group,the difference was statistically significant(P<0.05).Conclusion Laparoscopic myomectomy for hysteromyoma has a significant clinical effect in the treatment of hysteromyoma,and the postoperative complications are less.It is worthy of clinical application.