不同子宫肌瘤剔除术治疗子宫肌瘤的效果分析

Effect Analysis of Different Myomectomies in Treatment of Uterine Fibroids

目的:比较腹腔镜子宫肌瘤剔除术与经腹子宫肌瘤剔除术对子宫肌瘤的治疗效果。方法:回顾性分析2018年6月-2020年2月盱眙县人民医院收治的60例子宫肌瘤患者的临床资料,依手术方法的不同,分为对照组和研究组。对照组30例,采用经腹子宫肌瘤剔除术治疗,研究组30例,采用腹腔镜子宫肌瘤剔除术治疗,对比两组患者手术指标和手术并发症发生率。结果:研究组手术时间、肛门排气时间、术中出血量、住院时间优于对照组,差异均有统计学意义(P<0.05)。研究组手术并发症发生率低于对照组,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既可缩短其手术时间、肛门排气时间、住院时间,又能减少术中出血量,降低并发症的发生,使用安全性高。

Objective:To compare therapeutic effects of laparoscopic myomectomy and transabdominal myomectomy in treatment of uterine fibroids.Methods:The clinical data of 60 patients with uterine fibroids admitted to Xuyi County People's Hospital from June 2018 to February 2020 were retrospectively analyzed.According to different surgical methods,they were divided into control group and study group.Thirty patients in the control group were treated with transabdominal myomectomy,and 30 patients in the study group were treated with laparoscopic myomectomy.The surgical indicators and the incidence of surgical complications were compared between the two groups.Results:The operation time,anal exhaust time,intraoperative blood loss and hospital stay of the study group were better than those of the control group,and the differences were statistically significant(P<0.05).The incidence of surgical complications in the study group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:Laparoscopic myomectomy in the treatment of uterine fibroids can not only shorten the operation time,anal exhaust time,and hospital stay,but also reduce the amount of intraoperative blood loss and complications,with high safety.