巨大子宫肌瘤的腹腔镜手术体会和经验

The clinical efficacy of laparoscope surgery in the treatment of giant uterine myoma

目的探讨腹腔镜手术治疗巨大子宫肌瘤的临床效果。方法将2014年6月至2017年6月间在我院接受治疗的巨大子宫肌瘤患者60例和子宫肌瘤小于8 cm的患者60例纳入课题研究,行腹腔镜手术治疗,比较两组患者的手术指标、术后恢复指标、术后并发症情况以及术后随防情况。结果两组患者的术中出血量、手术时间、术后镇痛比例、肛门首次排气时间、术后首次下床时间、术后住院时间存在显著差异,有统计学意义(P<0.05);两组患者术后各项并发症的总发生率差异不具备统计学意义(P>0.05);观察组与对照组患者术后各项随访指标无统计学差异(P>0.05)。结论腹腔镜手术治疗巨大子宫肌瘤安全性较好,效果好,适合在有生育要求的患者中使用。

Objective To analyze the clinical efficacy of laparoscope surgery in the treatment of giant uterine myoma.Methods Sixty patients with giant uterine myoma and 60 with uterine myoma was less than 8 cm in our hospital from June 2014 to June 2017 were selected.The surgical index,postoperative complications,condition of resuming,and follow up results of the two groups were compared.Results There were significant differences in bleeding volume,operative time,postoperative analgesia ratio,first exhaust time,first out of bed time,hospital stay between the observation group and the control group,P<0.05;There was no significant difference in the incidence of complications and the follow up results between the observation group and the control group,P>0.05.Conclusion Laparoscope surgery has distinct advantage in the treatment of giant uterine myoma,which is worth to be spread for patients with fertility requirements.