腹腔镜子宫肌瘤剔除术治疗子宫肌瘤的效果及对卵巢功能的影响

Effect of Laparoscopic Myomectomy for Uterine Fibroids and Its Impact on Ovarian Function

目的:探讨腹腔镜子宫肌瘤剔除术治疗子宫肌瘤的效果及对卵巢功能的影响。方法:选取2018年3月-2020年3月笔者所在医院收治的子宫肌瘤患者86例,将其随机分为研究组和对照组,各43例。对照组给予开腹子宫肌瘤剔除术治疗,研究组给予腹腔镜子宫肌瘤剔除术治疗。比较两组临床指标、并发症发生率、复发率及卵巢功能。结果:研究组手术时间、排气时间、住院时间、下床活动时间及术中出血量均优于对照组,差异有统计学意义(P<0.05)。术前两组LH、FSH及E2水平比较差异均无统计学意义(P>0.05);术后,研究组LH、FSH水平均明显低于对照组,E2水平明显高于对照组,差异有统计学意义(P<0.05)。研究组并发症发生率及复发率均明显低于对照组,差异有统计学意义(P<0.05)。结论:腹腔镜子宫肌瘤剔除术治疗子宫肌瘤,可缩短手术时间及住院时间,降低复发率及并发症发生率,且对患者卵巢功能的影响更小,可推广使用。

Objective:To investigate the effect of laparoscopic myomectomy for uterine fibroids and its impact on ovarian function.Method:A total of 86 patients with uterine fibroids admitted in our hospital from March 2018 to March 2020 were selected and randomly divided into the study group and the control group,with 43 cases in each group.The control group was treated with open myomectomy,while the study group was treated with laparoscopic myomectomy.The clinical indicators,incidence of complications,recurrence rate and ovarian function were compared between the two groups.Result:The operation time,exhaust time,hospital stay,ambulation time and intraoperative blood loss of the study group were better than those of the control group,and the differences were statistically significant(P<0.05).There were no significant differences in LH,FSH and E;levels between the two groups before operation(P>0.05).After operation,the levels of LH and FSH in the study group were significantly lower than those in the control group,and the level of E;was significantly higher than that in the control group,the differences were statistically significant(P<0.05).The incidence of complications and recurrence rate in the study group were significantly lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:Laparoscopic myomectomy for uterine fibroids can shorten the operation time and hospital stay,reduce the recurrence rate and the incidence of complications,and has less impact on the ovarian function of patients,so it can be widely used.