腹腔镜与开腹手术治疗巨大子宫肌瘤的效果对比

Comparison of the effect of laparoscopic and open surgery in the treatment of giant uterine fibroids

目的对比腹腔镜与开腹手术治疗巨大子宫肌瘤的临床效果。方法80例巨大子宫肌瘤疾病患者,随机分为对照组及观察组,各40例。对照组采取开腹手术治疗,观察组采取腹腔镜手术治疗。比较两组并发症发生情况及相关指标(术中出血量、排气恢复时间、下床活动时间、住院时间、疼痛评分、生活质量评分)。结果观察组并发症发生率为2.50%,低于对照组的15.00%,差异有统计学意义(P<0.05)。观察组术中出血量(55.50±6.50)ml少于对照组的(93.50±8.50)ml,排气恢复时间(21.30±2.50)h、下床活动时间(2.50±0.50)d、住院时间(6.20±0.50)d短于对照组的(24.80±3.30)h、(3.20±0.50)d、(7.50±0.80)d,疼痛评分(1.20±0.20)分低于对照组的(3.50±0.50)分,生活质量评分(90.50±4.50)分高于对照组的(84.50±3.30)分,差异有统计学意义(P<0.05)。结论巨大子宫肌瘤患者行腹腔镜、开腹手术治疗均可达到治疗目的,但是相比于开腹手术,腹腔镜手术损伤更小、并发症更少、术后恢复更快、短时间患者生活状况恢复更好。

Objective To compare the clinical effect of laparoscopic and open surgery for the treatment of giant uterine fibroids.Methods A total of 80 patients with giant uterine fibroids were randomly divided into control group and observation group,with 40 cases in each group.The control group was treated with open surgery,and the observation group was treated with laparoscopic surgery.Both groups were compared in terms of complication rates and related indicators(intraoperative blood loss,exhaust recovery time,off-bed activity time,hospitalization time,pain score,quality of life score).Results The complication rate in the observation group was 2.50%,which was lower than 15.00% in the control group,and the difference was statistically significant(P<0.05).The intraoperative blood loss(55.50±6.50)ml of the observation group was less than(93.50±8.50)ml of the control group;the exhaust recovery time(21.30±2.50)h,off-bed activity time(2.50±0.50)d,and hospitalization time(6.20±0.50)d of the observation group were shorter than(24.80±3.30)h,(3.20±0.50)d,and(7.50±0.80)d of the control group;the pain score(1.20±0.20)points of the observation group was lower than(3.50±0.50)points of the control group;the quality of life score(90.50±4.50)points of the observation group was higher than(84.50±3.30)points of the control group;all the differences were statistically significant(P<0.05).Conclusion Giant uterine fibroids can be treated by laparoscopic or open surgery,but compared with open surgery,laparoscopic surgery has less damage,fewer complications,faster postoperative recovery,and better recovery of life in a short time.