基层医院规范化宫腔镜子宫肌瘤治疗临床路径研究

Study on the Clinical Path of Standardized Hysteroscopic Hysteromyoma Treatment in Primary Hospitals

目的:探讨在基层医院以宫腔镜规范化治疗子宫肌瘤患者的路径与价值。方法:试验对象选用在2019年1月至2021年11月期间,于甘肃省和政县人民医院就医的子宫肌瘤患者62例,以数字奇偶法均分为对照组与观察组,分别在治疗期间提供传统开腹术与宫腔镜施治,统计施治效果。结果:观察组施治后总有效率比对照组高,P<0.05(χ;=5.415);观察组施治后手术用时、术中失血量、术后排气时间及住院时间低于对照组,P<0.05(t1=2.227、t2=22.484、t3=10.764、t4=3.455);观察组施治后并发症总发生率比对照组低,P<0.05(χ;=5.168)。结论:通过宫腔镜施治,可有效减小患者的肌瘤体积,缩短手术时间及住院时间,还能降低患者发生并发症的风险,适宜深入研究与推广应用。

Objective:To explore the path and value of hysteroscopic standardized treatment of patients with hysteromyoma in primary hospitals.Methods:62 patients with uterine fibroids treated in the Gansu Province Hezheng County People’s Hospital from January 2019 to November 2021 were selected as trial subjects.They were divided into control group and observation group by digital parity method,and given traditional laparotomy and hysteroscopy respectively during the treatment period to calculate the treatment effect.Results:The total effective rate of the observation group was higher than that of the control group,P<0.05(χ~2=5.415);the operation time,intraoperative blood loss,postoperative exhaust time and hospital stay in the observation group were lower than those in the control group,P <0.05(T1=2.227,T2=22.484,T3=10.764,T4=3.455);the total incidence of complications in the observation group was lower than that in the control group,P<0.05 Conclusion:Hysteroscopy can effectively reduce the volume of myoma,shorten the operation time and hospital stay,and reduce the risk of complications.It is suitable for in-depth research and popularization.