腹腔镜子宫肌瘤剔除术治疗子宫肌瘤的疗效观察

Therapeutic effect of laparoscopic myomectomy for uterine fibroids

目的对子宫肌瘤应用腹腔镜子宫肌瘤剔除术治疗的效果进行探讨。方法选取本院2016年2月至2017年2月期间收治的96例子宫肌瘤患者,随机分为观察组与对照组,各48例。对照组应用开腹手术治疗,观察组给予腹腔镜子宫肌瘤剔除术治疗,对两组患者治疗效果进行对比。结果在术中出血量、下床活动时间、术后肛门排气时间及住院时间方面,观察组分别为(38.42±4.58)ml、(11.23±5.66)h、(20.41±13.57)h、(5.14±1.38)d,对比照分别为(77.23±12.36)ml、(31.24±13.47)h、(40.22±13.54)h、(8.83±2.52)d,观察组均明显低于对照组,差异有统计学意义(P<0.05);并发症方面,观察组为4.17%,对照组为27.08%,观察组明显低于对照组,差异有统计学意义(P<0.05)。结论对子宫肌瘤应用腹腔镜手术方式治疗,具有创伤小、恢复快的特点,且不良反应少,安全有效,在临床中值得推广应用。

Objective To investigate the effect of laparoscopic myomectomy in the treatment of uterine fibroids.Methods 96 patients with uterine fibroids admitted to our hospital from February 2016 to February 2017 were randomly divided into observation group and control group,48 cases in each group.The control group was treated with open surgery and the observation group was given laparoscopic myomectomy.Uterine fibroids were removed and the treatment effects of the two groups were compared.Results In the intraoperative blood loss,time to get out of bed,postoperative anal exhaust time and hospital stay,the observation group was(38.42±4.58)ml,(11.23±5.66)h,(20.41±13.57)h,(5.14±1.38)d,the contrasts were(77.23±12.36)ml,(31.24±13.47)h,(40.22±13.54)h,(8.83±2.52)d,and the observation group was significantly lower than the control group.The significance of learning(P<0.05);complications,the observation group was 4.17%,the control group was 27.08%,the observation group was significantly lower than the control group,the difference was statistically significant(P<0.05).Conclusion Laparoscopic surgery for uterine fibroids has the characteristics of small trauma and rapid recovery,and has fewer adverse reactions,safe and effective,and is worthy of popularization and application in clinical practice.