腹腔镜在巨大子宫肌瘤治疗中的辅助效果

The Auxiliary Effect of Laparoscopy in the Treatment of Giant Uterine Fibroids

目的探讨腹腔镜在巨大子宫肌瘤治疗中的辅助效果。方法从医院收治的巨大子宫肌瘤患者中随机抽取72例纳入本次研究中,所以患者均于2017年5月-2019年4月就诊于医院,应用随机数字法分为36例行传统开腹子宫切除治疗的对照组和36例行腹腔镜辅助阴式全子宫切除术治疗的观察组,且对两组患者的手术时间、术中出血量、肛门排气时间、下床时间及住院时间,且评估并发症发生率(皮下气肿、发热、切口感染)进行观察及评估。结果观察组患者术中和术后恢复等各项指标均明显优于对照组患者,P<0.05。两组患者并发症发生率无统计学意义,P>0.05。结论腹腔镜辅助阴式全子宫切除术治疗巨大子宫肌瘤具有较高的临床价值,不仅手术切口小,术后恢复快。

Objective To explore the auxiliary effect of laparoscopy in the treatment of giant uterine fibroids.Methods From May 2017 to April 2019,72 patients were randomly selected from the patients with giant uterine fibroids admitted to our hospital for inclusion in this study,so the patients were treated in our hospital,and they were divided into 36 cases using traditional random number method.Abdominal hysterectomy control group and 36 cases of laparoscopic assisted vaginal hysterectomy treatment group,and the operation time,intraoperative blood loss,anal exhaust time,bed time and hospitalization time of the two groups of patients And evaluate the incidence of complications(subcutaneous emphysema,fever,wound infection)for observation and evaluation.Results The indexes of the observation group's intraoperative and postoperative recovery were significantly better than those of the control group,P<0.05.The incidence of complications in the two groups was not statistically significant,P>0.05.Conclusion Laparoscopic assisted vaginal hysterectomy has a high clinical value in the treatment of giant uterine fibroids.It is not only small incision,but also has quick recovery.