腹腔镜子宫肌瘤剔除术与GnRH-a联合的应用意义探究

The Application Significance of Laparoscopic Myomectomy Combined with GnRH-a

目的探讨腹腔镜子宫肌瘤剔除术与GnRH-a联合的应用意义。方法选我院100例2017年1月至2018年1月子宫肌瘤患者。随机数字表分组,腹腔镜子宫肌瘤剔除术治疗组选择腹腔镜子宫肌瘤剔除术治疗,腹腔镜子宫肌瘤剔除术联合GnRH-a组则选择腹腔镜子宫肌瘤剔除术加上GnRH-a治疗。比较两组治疗总有效率;腹腔镜手术出血量、腹腔镜手术时间、术后肛门排气和住院时间;治疗前后患者子宫体积和子宫肌瘤体积;子宫肌瘤复发率。结果腹腔镜子宫肌瘤剔除术联合GnRH-a组治疗总有效率、腹腔镜手术出血量、腹腔镜手术时间、术后肛门排气和住院时间、子宫体积和子宫肌瘤体积相比较照组有优势,P<0.05。腹腔镜子宫肌瘤剔除术联合GnRH-a组子宫肌瘤复发率低于腹腔镜子宫肌瘤剔除术治疗组,P<0.05。结论腹腔镜子宫肌瘤剔除术加上GnRH-a治疗子宫肌瘤的效果肯定,可有效缩小肌瘤,减少手术创伤,加速术后康复和降低复发率。

Objective To investigate the significance of the combination of laparoscopic myomectomy and GnRH-a.Methods One hundred patients with uterine fibroids from January 2017 to January 1818 were enrolled in our hospital.Randomized digital table grouping,laparoscopic hysterectomy,laparoscopic myomectomy,laparoscopic myomectomy combined with GnRH-a,laparoscopic myomectomy plus GnRH-a treatment.The total effective rate of the two groups was compared;the amount of bleeding in laparoscopic surgery,the time of laparoscopic surgery,postoperative anal exhaust and hospitalization time;the volume of uterus and uterine fibroids before and after treatment;the recurrence rate of uterine fibroids.Results Total effective rate,laparoscopic bleeding,laparoscopic surgery time,postoperative anal exhaust and hospital stay,uterine volume,and uterine fibroid volume were compared between the laparoscopic myomectomy and the GnRH-a group.There are advantages,P<0.05.The recurrence rate of laparoscopic myomectomy combined with GnRH-a group was lower than that of laparoscopic myomectomy group(P<0.05).Conclusion Laparoscopic uterine fibroids removal combined with GnRH-a treatment of uterine fibroids is effective,can effectively reduce fibroids,reduce surgical trauma,accelerate postoperative recovery and reduce recurrence rate.