腹腔镜子宫肌瘤剔除术用于治疗子宫肌瘤患者的临床研究

Clinical Study of Laparoscopic Myomectomy for the Treatment of Hysteromyoma

目的分析探究腹腔镜子宫肌瘤剔除术用于治疗子宫肌瘤患者的临床效果。方法将2019年2月至2020年2月到我院进行治疗的100例子宫肌瘤患者随机分为观察组(n=50)和对照组(n=50),对照组与观察组分别予以开腹子宫肌瘤剔除术和腹腔镜子宫肌瘤剔除术,将两组患者的围手术期情况、有效率、VAS评分、并发症发生率以及治疗前和治疗后6个月的卵巢功能进行比较。结果观察组的术中出血量明显比对照组少,差异有统计学意义(P<0.05);观察组的肛门排气时间、住院时间以及下床活动时间均比对照组短(P<0.05),观察组子宫肌瘤患者的有效率远高于对照组(P<0.05),观察组术后1 d、术后3 d、术后6 d的VAS评分均明显比对照组低(P<0.05),相较于对照组,观察组子宫肌瘤患者的疼痛、出血、宫腔粘连与感染等并发症发生率更低(P<0.05),经过治疗后,相较于对照组,观察组的卵巢功能更好(P<0.05)。结论腹腔镜子宫肌瘤剔除术能够有效减少患者术中出血量,缩短患者的病情恢复时间,改善患者的卵巢功能,且具有较高安全性,值得推广应用。

Objective To analyze the clinical effect of laparoscopic myomectomy in the treatment of hysteromyoma.Methods One hundred patients with hysteromyoma treated in our hospital from February 2019 to February 2020 were randomly divided into observation group(n=50)and control group(n=50).The control group and observation group were treated with open hysteromyomectomy and laparoscopic myomectomy respectively.The perioperative status,effective rate,VAS score,complication rate,and ovarian function before and 6 months after treatment were compared between the two groups of patients.Results The intraoperative blood loss of the observation group was significantly less than that of the control group,which was statistically different(P<0.05).The anal exhaust time,hospitalization time,and time to get out of bed in the observation group were shorter than those of the control group(P<0.05).The effective rate of patients with uterine fibroids in the group was much higher than that in the control group(P<0.05).The VAS scores of the observation group were significantly lower than those of the control group at 1d,3d,and 6d after surgery(P<0.05).In the control group,the incidence of complications such as pain,bleeding,intrauterine adhesions and infections in the observation group was lower(P<0.05).After treatment,compared with the control group,the observation group had better ovarian function(P<0.05).Conclusion Laparoscopic myomectomy can effectively reduce the bleeding volume,shorten the recovery time,improve the ovarian function of patients,and has high safety,which is worth popularizing and applying.