不同手术方法在不同型子宫肌瘤的临床疗效

Clinical Analysis of Different Surgical Treatments for Different Types of Uterine Leiomyoma

目的比较不同手术治疗方法在不同型子宫肌瘤的临床疗效。方法选取2018年1月-2018年12月收至医院的子宫肌瘤患者90例,根据患者实际病情及意愿分为A、B、C三组,各30例。A组患者予以行经腹子宫肌瘤切除术、B组患者行经阴道子宫肌瘤切除术、C组患者则行腹腔镜下子宫肌瘤剔除术。比较三组患者的手术情况及术后恢复情况。结果 (1)B、C组患者的手术时间、术中出血量、肛门排气时间、镇痛药物使用情况、VAS评分及住院时间均显著少于A组患者,差异有统计学意义(P <0.05),而B、C组患者之间比较未见明显统计学差异(P> 0.05);(2)B组患者的术后并发症发生率显著高于A、C组,C组的并发症发生率最低,差异有统计学意义(P <0.05)。结论腹腔镜下子宫肌瘤切除术手术时间短、创伤小且术后并发症少,可作为子宫肌瘤患者的优选方式。

Objective Comparing the clinical effects of different surgical treatments on different types of uterine leiomyoma. Metohds 90 patients with uterine leiomyoma in our hospital from January 2018 to December 2018 were selected and divided into three groups A, B and C according to their actual conditions and wishes 30 cases each. Patients in group A underwent abdominal myomectomy, patients in group B underwent vaginal myomectomy, and patients in group C underwent laparoscopic myomectomy. The operation and recovery of the three groups were compared. Results(1) The operation time, intraoperative bleeding volume, anal exhaust time, use of analgesics, VAS score and hospitalization time of group B and C were significantly less than those of group A(P < 0.05), but there was no significant difference between group B and C(P > 0.05).(2) The incidence of postoperative complications in group B was significantly higher than that in group A and C, and the lowest in group C(P < 0.05) Conclusion Laparoscopic hysteromyomectomy has the advantages of shorter operation time, less trauma and fewer complications. It can be used as a preferred method for patients with hysteromyoma.