子宫肌瘤腹腔镜下全子宫切除术的临床分析

Clinical Analysis of Laparoscopic Hysterectomy for Uterine Fibroids

目的探讨子宫肌瘤腹腔镜下全子宫切除术的临床效果。方法选取2017年12月—2018年12月本院收治的82例子宫肌瘤患者,采用双色球法将其分为两组各41例,对照组采用开腹全子宫切除术治疗,观察组采用腹腔镜下全子宫切除术治疗,比较两组患者的住院时间、术中出血量、排气时间、手术时间和并发症发生情况。结果观察组排气时间、住院时间短于对照组,手术时间长于对照组,术中出血量少于对照组(P<0.05);对照组并发症发生率为(4.88%),观察组为(4.88%),组间数据对比差异无统计学意义(P>0.05)。结论腹腔镜下全子宫切除术治疗子宫肌瘤能够有效减少患者术中出血量,缩短患者术后恢复时间,安全性良好。

Objective To investigate the clinical effect of laparoscopic hysterectomy for uterine fibroids.Methods 82 patients with uterine fibroids admitted to our hospital from December 2017 to December 2018 were enrolled in this study.They were divided into two groups by 41 patients in the two groups.The control group was treated with open hysterectomy.Laparoscopic hysterectomy was performed to compare the length of hospital stay,intraoperative blood loss,exhaust time,operation time,and complications.Results The exhaust time and hospitalization time of the observation group were significantly shorter than that of the control group.The operation time was significantly longer than that of the control group.The intraoperative blood loss was significantly less than that of the control group(P<0.05).The complication rate of the control group was(4.88%).The observation group was(4.88%),and there was no significant difference in data between groups(P>0.05).Conclusion Laparoscopic hysterectomy for uterine fibroids can effectively reduce the amount of intraoperative blood loss,shorten the recovery time of patients,and have good safety.