子宫动脉栓塞术与腹腔镜下子宫肌瘤剔除术治疗子宫肌瘤的临床效果比较

Comparison of clinical effect of uterine artery embolization and laparoscopic hysteromyomectomy in the treatment of hysteromyoma

目的比较子宫动脉栓塞术与子宫肌瘤剔除术治疗腹腔镜下子宫肌瘤的临床效果。方法选择2017年5月至2019年7月我院收治的80例子宫肌瘤患者进行回顾性研究,依据治疗方法的不同将其分为A组(40例,行子宫动脉栓塞术)和B组(40例,行腹腔镜下子宫肌瘤剔除术)。比较两组的临床疗效、术后恢复情况、术后并发症发生情况、卵巢功能指标、生活质量评分。结果两组患者的治疗总有效率比较,差异无统计学意义(P>0.05)。A组的术后离床活动时间、住院时间均短于B组,差异具有统计学意义(P<0.05)。A组的术后并发症总发生率低于B组,差异具有统计学意义(P<0.05)。手术后,两组的LH、FSH、E2水平均较手术前升高,但A组低于B组,差异具有统计学意义(P<0.05)。手术后6个月,两组的生活质量各项评分均较手术前提高,且A组高于B组,差异具有统计学意义(P<0.05)。结论子宫动脉栓塞术与腹腔镜下子宫肌瘤剔除术对子宫肌瘤均具有良好的临床疗效,子宫动脉栓塞术在减少术后并发症的发生、加快术后恢复速度、减轻卵巢功能损伤、提升生活质量方面更具有优势。

Objective To compare the clinical effect of uterine artery embolization and laparoscopic hysteromyomectomy in the treatment of hysteromyoma.Methods A total of 80 patients with hysteromyoma admitted in our hospital from May 2017 to July 2019 were selected for retrospective study.According to different treatment methods,the patients were divided into group A(40 cases,uterine artery embolization)and group B(40 cases,laparoscopic hysteromyomectomy).The clinical effects,postoperative recovery,postoperative complications,ovarian function indexes and score of quality of life in the two groups were compared.Results There was no significant difference in the total effective rate between the two groups(P>0.05).The postoperative time of getting out of bed and hospital stay in the group A were shorter than those in the group B,and the differences were statistically significant(P<0.05).The total incidence of postoperative complications in the group A was lower than that in the group B,and the difference was statistically significant(P<0.05).After operation,the levels of LH,FSH and E2 in both groups were higher than those before operation,but those in the group A were lower than the group B,and the differences were statistically significant(P<0.05).At 6 months after operation,the scores of quality of life in two groups were higher than those before operation,and those in the group A were higher than the group B,and the differences were statistically significant(P<0.05).Conclusion Uterine artery embolization and laparoscopic hysteromyomectomy have good clinical effect on hysteromyoma.Uterine artery embolization has more advantages in reducing postoperative complications,accelerating postoperative recovery,alleviating ovarian function damage and improving quality of life.