腹腔镜手术与开腹手术治疗子宫肌瘤的护理配合分析

Nursing Cooperation Analysis between Laparoscopic Surgery and Open Surgery for Uterine Fibroids

目的对于应用开腹子宫肌瘤剔除手术以及腹腔镜下手术治疗在医学临床上的治疗效果进行调查和分析,比较腹腔镜下手术与开腹子宫肌瘤剔除手术在医学临床上的应用价值,以便为提升针对子宫肌瘤症状的治疗效果提供相关借鉴基础。方法选择该院在2014年10月—2016年12月收容诊治的100例患有子宫肌瘤的患者作为该次研究的实验对象,并将这100例患有子宫肌瘤的患者编成两个组类,一组编为对照组,另一组编为实验组,每组50例患者。对于实验组的患者,应用腹腔镜手术作为治疗手段,对于对照组的患者,应用开腹子宫肌瘤剔除手术作为治疗手段,对实验组和对照组的患者进行手术的时间,手术过程中的出血量以及患者住院时长和相关治疗方法的效果进行观察和比较。结果在实验组和对照组手术并发症发生率的比较中,差异有统计学意义(χ~2=4.332,P=0.037)。实验组的患者在进行手术的过程中出血量,显著少于对照组(t=-24.871,P=0.000),实验组的住院时长显著少于对照组(t=-8.858,P>0.05),实验组手术所用的时间都要显著好于对照组(t=1.068,P=0.000),相关差异有统计学意义(P<0.05)。结论针对子宫肌瘤,应用腹腔镜下手术治疗可以促进患者的痊愈速度,且造成的创面较小,方便后续护理工作的进行,有利于提升护理的质量水平,值得在医学临床上进行推广和应用。

Objective To investigate and analyze the clinical therapeutic effects of open uterine myomectomy and laparoscopic surgery, and to compare the clinical application of laparoscopic surgery and open uterine myomectomy, in order to provide a basis for reference to improve the treatment of uterine fibroids. Methods 100 patients with uterine fibroids who were admitted to our hospital from October 2014 to December 2016 were selected as subjects for this study, and the 100 patients with uterine fibroids were divided into two groups, one group was selected as the control group, and the other group was edited as the experimental group, and each group had 50 patients. For the patients in the experimental group, laparoscopic surgery was used as the treatment. For the patients in the control group, the open uterine myomectomy was used as the treatment. The time of surgery in the experimental group and the control group,and the bleeding during the operation, the amount and duration of the patient’s hospital stay and the effectiveness of the relevant treatment methods were observed and compared. Results In the comparison of the incidence of surgical complications between the experimental group and the control group, the correlation was statistically significant(χ^2=4.332, P=0.037). The amount of bleeding in the experimental group was significantly less than that in the control group(t=-24.871, P=0.000), the length of hospitalization in the experimental group was significantly less than that in the control group(t=-8.858, P>0.05), experimental group of the time spent on surgery was significantly better than that of the control group(t=1.068, P=0.000), and the correlation was statistically significant(P<0.05). Conclusion For uterine fibroids, the application of laparoscopic surgery can promote the recovery rate of patients, and the wounds are small,which is convenient for follow-up nursing work, which is conducive to improving the quality of nursing. It is worthy of promotion in medical clinics and application.