子宫肌瘤剥除术的疗效分析

Analysis of the Curative Effect of Uterus Myoma Myomectomy

目的研究不同的手术方式在剥除子宫肌瘤术中的应用价值。方法选取2016年1月—2017年12月来院行保子宫手术治疗子宫肌瘤的161例患者作为研究对象,按手术方式分为A组(腹腔镜下子宫肌瘤剥除术)126例、B组(经腹子宫肌瘤剥除术)35例。比较两组患者术中、术后及1年后的随诊情况。结果A组的手术时间(135.00±14.43)min长于B组(84.00±15.70)min,P<0.01,差异有统计学意义,A组术中出血量(232.07±26.47)mL多于B组(138.29±43.81)mL,P<0.01,差异有统计学意义;A组术后高热发生率低于B组,P<0.05,差异有统计学意义,A组术后伤口愈合不良的发生率低于B组,P<0.05,差异有统计学意义。两组患者宫腔穿透、术后输血、术后1年复发、术后慢性盆腔痛的发生率对比差异无统计学意义(P>0.05)。结论腹腔镜手术微创,术后恢复快,但需结合手术者技术及病情综合评估来选择手术方式。

Objective To study the application value of different surgical methods in uterus myoma myomectomy. Methods 161 patients who underwent save uterine surgery for uterus myoma in the hospital from January 2016 to December 2017 were selected as subjects and divided into two groups. According to the surgical method, there were 126 cases in group A (laparoscopic myomectomy) and 35 cases in group B (transabdominal myomectomy). Compare the follow-up status between the two groups during operation, postoperative and one year later. Results The operation time of group A (135.00±14.43) min was longer than that of group B (84.00±15.70) min, P < 0.01, the difference was statistically significant. The amount of intraoperative blood loss (232.07±26.47) mL in group A was more than that in group B (138.29± 43.81) mL, P < 0.01, the difference was statistically significant;the incidence of postoperative hyperthermia in group A was lower than that in group B, P<0.05, the difference was statistically significant. The incidence of poor wound healing in group A was lower than that in group B. P < 0.05, the difference was statistically significant. There was no significant difference in the incidence of intrauterine penetration, postoperative blood transfusion, postoperative recurrence in one year, and postoperative chronic pelvic pain between the two groups (P > 0.05).Conclusion Laparoscopic surgery is minimally invasive and has a quick recovery. However, it is necessary to select the operative method in combination with the surgeon's technique and comprehensive assessment of the patient's condition.