腹腔镜子宫肌瘤切除手术与阴式子宫肌瘤切除手术的对比研究

Comparative Study of Laparoscopic Myomectomy and Vaginal Myomectomy

目的对比阴式子宫肌瘤切除手术与腹腔镜子宫肌瘤切除手术治疗子宫肌瘤的效果。方法方便选取2016年9月-2019年1月收治的子宫肌瘤患者94例,随机分为观察组和对照组,对照组采取腹腔镜手术,观察组实施阴式手术,对比手术效果。结果观察组肌瘤剥除数目(4.5±1.3)个、排气时间(18.29±4.18)h、术中出血量(132.41±23.42)mL、手术时间(80.44±4.22)min、住院时间(3.78±1.10)d、并发症发生率4.26%、复发率2.13%、总满意度97.87%、躯体健康(71.39±4.28)、情绪角色功能(84.51±3.71)分、心理健康(81.38±4.18)分、社会功能(83.59±3.87)分、精力(73.51±4.21)分、总体健康(62.48±4.28)分均优于对照组(2.8±1.0)个、(20.51±5.28)h、(197.22±30.50)mL、(98.32±9.13)min、(7.08±2.04)d、19.15%、17.02%、78.72%、(52.22±2.78)分、(73.21±2.58)分、(61.32±3.78)分、(76.21±2.78)分、(61.21±4.12)分、(54.51±3.58)分,对比差异有统计学意义(χ~2=5.334、5.017、7.648,P<0.05)。结论阴式子宫肌瘤切除手术较腹腔镜子宫肌瘤切除手术效果更加显著,值得应用。

Objective To compare the effect of vaginal myomectomy and laparoscopic myomectomy in the treatment of uterine fibroids. Methods Convenient selection 94 patients with hysteromyoma admitted from September 2016 to January2019 were randomly divided into observation group and control group. The control group underwent laparoscopic surgery while the observation group underwent vaginal surgery to compare the surgical effects. Results Observation group: number of myoma removal(4.5 ±1.3), exhaust time(18.29 ±4.18) h, intraoperative blood loss(132.41 ±23.42)mL, operation time(80.44±4.22) min, hospital stay(3.78±1.10) d, complication rate 4.26%, recurrence rate 2.13%, total satisfaction 97.87%,physical health(71.39 ±4.28)points, emotional role function(84.51 ±3.71) points, mental health(81.38 ±4.18) points, social function(83.59±3.87) points, energy(73.51±4.21) points, and overall health(62.48±4.28) points were better than the control group(2.8±1.0),(20.51±5.28)hours,(197.22±30.50)mL,(98.32±9.13) min,(7.08±2.04) d, 19.15%, 17.02%, 78.72%,(52.22±2.78) points,(73.21±2.58)points,(61.32±3.78) points,(76.21±2.78) points,(61.21±4.12) points and(54.51±3.58) points, the differenct of comparison was statistically significant(χ~2=5.334,5.017,7.648,P <0.05). Conclusion Vaginal myomectomy is more effective than laparoscopic myomectomy and is worthy of application.