腹腔镜子宫肌瘤剔除治疗子宫肌瘤的临床疗效观察

Clinical Observation of Laparoscopic Myomectomy in the Treatment of Uterine Myoma

目的:观察对子宫肌瘤患者实施腹腔镜子宫肌瘤剔除术的临床疗效。方法:纳入2018年1月~2019年1月本院收治的子宫肌瘤患者78例为观察对象,根据患者入院时间的不同将其分为人数相等的腹腔镜组与开腹组,每组有患者39例,腹腔镜组患者的手术方法为腹腔镜子宫肌瘤剔除治疗,开腹组患者的治疗方法为经腹子宫肌瘤剔除术。结果:在手术时间、术中出血量以及术后肠胃功能恢复时间、住院时间的比较上,腹腔镜组患者与开腹组患者存在显著差异(P<0.05);腹腔镜组与开腹组患者相比,其术后并发症发生概率明显较低(P<0.05)。结论:在为子宫肌瘤患者实施治疗的过程中腹腔镜子宫肌瘤剔除术的运用可以缩短患者手术、术后肠胃功能恢复以及住院时间,减少了术中出血量和术后并发症的出现。

Objective:To observe the clinical effect of laparoscopic myomectomy in the treatment of patients with uterine fibroids.Methods:78 patients with hysteromyoma were enrolled in this study,and their admission time was from January 2018 to January 2019.According to the different admission time,they were divided into laparoscopic group and open group with 39 patients in each group.The operation method of laparoscopic group was laparoscopic myomectomy,and the treatment method of open group was transabdominal myomectomy operation.Results:There were significant differences in operation time,intraoperative blood loss,postoperative gastrointestinal function recovery time and hospitalization time between laparoscopic group and open group(P<0.05);the incidence of postoperative complications in laparoscopic group was significantly lower than that in open group(P<0.05).Conclusion:In the process of treatment for patients with uterine fibroids,the application of laparoscopic myomectomy can shorten the operation,postoperative gastrointestinal function recovery and hospital stay,reduce the amount of bleeding and postoperative complications.