糖尿病子宫肌瘤伴不孕患者行宫腹腔镜治疗效果及妊娠结局效果分析

Analysis of Treatment Effect of Uterine Laparoscopy in Patients with Diabetic Uterine Fibroids with Infertility and Gestational Outcome

目的探究糖尿病子宫肌瘤伴不孕患者接受宫腹腔镜治疗的疗效以及其对妊娠结局的影响。方法以糖尿病子宫肌瘤伴不孕患者为研究对象,时间选取为2016年1月—2017年6月,例数为40例,采用远程随机化法分组,其中对照组实施开腹子宫肌瘤剔除术治疗,实验组则实施宫腹腔镜子宫肌瘤剔除术治疗,分析2组糖尿病子宫肌瘤伴不孕患者治疗的结果。结果实验组糖尿病子宫肌瘤伴不孕患者的手术用时、手术出血量、住院时间均明显低于对照组,差异有统计学意义(P<0.05);实验组并发症几率(5.00%)较对照组并发症几率(30.00%)低,差异有统计学意义(P<0.05);实验组血糖稳定性明显优于对照组(P<0.05);实验组子宫几率残留率以及子宫肌瘤复发率均明显低于对照组,其成功妊娠率明显高于对照组,差异有统计学意义(P<0.05)。结论糖尿病子宫肌瘤伴不孕患者接受宫腹腔镜子宫肌瘤剔除术治疗,可取得较好的效果,提高患者的妊娠率。

Objective To study the effect of uerine laparoscopy in patients with diabetic uterine fibroids with infertility and gestational outcome.Methods40cases of patients with diabetic uterine fibroids with infertility admitted and treated in our hospital from January2016to June2017were selected and randomly divided into two groups,the control group were treated with laparotomy myomectomy,while the experimental group were treated with hysteroscopic myomectomy,and the treatment effect of the two groups was analyzed.Results The operation time,operation bleeding amount and length of stay in the experimental group were obviously lower than those in the control group,and the differences were obvious(P<0.05),and the probability of complications in the experimental group was lower than that in the control group(5.00%vs30.00%),and the differences were statistically significant(P<0.05),and the blood glucose stability in the experimental group was obviously better than that in the control group(P<0.05),and the residual odds ratio of uterus and hysteromyoma recurrence rate in the experimental group were obviously lower than those in the control group,and the success pregnancy rate was obviously higher than that in the control group,and the differences were obvious(P<0.05).Conclusion The hysteroscopic myomectomy in patients with diabetic uterine fibroids with infertility can obtain a better effect and improve the gestational rate.