腹腔镜超声辅助微创手术治疗子宫肌瘤的临床效果

Clinical effect of laparoscopic ultrasound assisted minimally invasive surgery in the treatment of hysteromyoma

目的研究腹腔镜超声辅助微创手术治疗子宫肌瘤的临床效果。方法选取2019年1月至2020年6月本院收治的123例子宫肌瘤患者作为研究对象,根据随机数字表法将其分为对照组(60例,腹腔镜微创手术)和观察组(63例,腹腔镜超声辅助微创手术)。比较两组的治疗效果。结果观察组的手术时间长于对照组(P<0.05)。观察组的子宫肌瘤残留率低于对照组(P<0.05)。术后6个月,观察组的残留肌瘤最大直径小于对照组(P<0.05)。术后,两组的FSH、E_(2)水平均低于术前,LH水平均高于术前(P<0.05)。观察组的并发症总发生率、复发率均低于对照组(P<0.05)。术后,观察组的子宫内膜厚度、容积均大于对照组(P<0.05)。结论腹腔镜超声辅助微创手术治疗子宫肌瘤的临床效果显著,可降低子宫肌瘤残留率,减少并发症发生情况及复发情况,促进子宫恢复。

Objective To study the clinical effect of laparoscopic ultrasound assisted minimally invasive surgery in the treatment of hysteromyoma.Methods A total of 123 patients with hysteromyoma treated in our hospital from January 2019 to June 2020 were selected as the research objects,and the patients were divided into control group(60 cases,laparoscopic minimally invasive surgery)and observation group(63 cases,laparoscopic ultrasound assisted minimally invasive surgery)according to random number table method.The treatment effects of the two groups were compared.Results The operation time in the observation group was longer than that in the control group(P<0.05).The residual rate of hysteromyoma in the observation group was lower than that in the control group(P<0.05).Six months after operation,the maximum diameter of residual fibroids in the observation group was smaller than that in the control group(P<0.05).After operation,the levels of FSH and E_(2) in both groups were lower than those before operation,while the level of LH was higher than that before operation(P<0.05).The total incidence of complications and recurrence rate in the observation group were lower than those in the control group(P<0.05).After operation,the endometrial thickness and volume of the observation group were greater than those of the control group(P<0.05).Conclusion Laparoscopic ultrasound assisted minimally invasive surgery in the treatment of hysteromyoma has a significant clinical effect,it can reduce the residual rate of hysteromyoma,the occurrence of complications and recurrence,and promote the uterine recovery.