对比腹腔镜与传统开腹手术治疗子宫肌瘤的效果

Comparison of Clinical Effects Between Laparoscopic Myomectomy and Traditional Open Surgery for Uterine Fibroids

目的对比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。方法搜集2016年2月—2018年2月于本院妇科确诊的子宫肌瘤患者66例,按照随机数字表法分为对照组和观察组,均为33例。其中对照组行传统开腹手术,观察组行腹腔镜子宫肌瘤剔除术。观察手术相关指标、术后疼痛程度及并发症情况。结果观察组手术时间比对照组用时长(P <0.05);但观察组术中出血量、术后排气时间、下床时间及住院时间均低于对照组(P <0.05)。观察组并发症发生率为6.06%,明显低于对照组的24.24%(P <0.05)。观察组TNF-α、IL-6、CRP水平炎症指标水平低于对照组(P <0.05)。结论为子宫肌瘤患者行腹腔镜子宫肌瘤剔除术有利于减轻手术疼痛,术后并发症少,促使患者恢复健康,手术疗效确切。

Objective To compare the clinical efficacy of laparoscopic myomectomy and traditional open surgery for uterine fibroids. Methods 66 patients with uterine fibroids diagnosed in our hospital from February 2016 to February 2018 were enrolled. The patients were divided into the control group and the observation group according to the random number table method, all of which were 33 cases. The control group was underwent conventional open surgery, and the observation group was underwent laparoscopic hysteromyoma removal. Surgical related indicators, postoperative pain levels and complications were observed. Results The operation time of the observation group was longer than that of the control group (P < 0.05). However, the intraoperative blood loss, postoperative exhaust time, bedtime and hospital stay were lower in the observation group than in the control group (P < 0.05). The incidence of complications in the observation group was 6.06%, which was significantly lower than that of the control group (24.24%)(P < 0.05). The levels of TNF-α, IL-6 and CRP in the observation group were lower than those in the control group (P < 0.05). Conclusion Laparoscopic myomectomy for patients with uterine fibroids is beneficial to reduce surgical pain, less postoperative complications, and promote the recovery of patients. The curative effect is accurate.