超声联合宫腔镜下手术治疗内突型壁间子宫肌瘤的效果及对预后的影响研究

Influence of ultrasound combined with hysteroscopy on prognosis and recurrence of intramural myoma

目的 分析内突型壁间子宫肌瘤患者应用超声联合宫腔镜治疗的效果及对预后的影响。方法 80例内突型壁间子宫肌瘤患者,根据治疗方法不同分为观察组与对照组,各40例。对照组实施开腹手术,观察组实施超声联合宫腔镜下手术。比较两组并发症发生率、临床指标、复发率。结果 观察组并发症发生率为2.50%,低于对照组的20.00%,差异有统计学意义(P<0.05)。观察组术中出血量(109.13±10.98)ml少于对照组的(141.85±30.62)ml,排气时间(21.18±6.43)h、手术时间(53.21±4.69)min、住院时间(4.76±1.21)d短于对照组的(33.21±10.32)h、(66.72±7.41)min、(7.13±2.31)d,差异有统计学意义(P<0.05)。观察组复发率为2.50%,低于对照组的17.50%,差异有统计学意义(P<0.05)。结论 实施超声联合宫腔镜下手术治疗内突型壁间子宫肌瘤患者可降低并发症发生率和复发率,减少了术中出血量,排气时间、手术时间及住院时间明显缩短,值得在临床中应用和推广。

Objective To analyze the effect of ultrasound combined with hysteroscopy in the treatment of patients with intramural myoma and its effect on prognosis.Methods A total of 80 cases of intramural myoma were divided into the observation group and the control group according to different treatment methods,with 40 cases in each group.The control group underwent laparotomy,and the observation group underwent ultrasound combined with hysteroscopic surgery.The complication rate,clinical indicators and recurrence rates were compared between the two groups.Results The complication rate in the observation group was 2.50%,which was lower than 20.00%in the control group,and the difference was statistically significant(P<0.05).In the observation group,the intraoperative blood loss(109.13±10.98)ml of the observation group was less than(141.85±30.62)ml of the control group;the exhaust time was(21.18±6.43)h,the operation time was(53.21±4.69)min,and the hospitalization time was(4.76±1.21)d,which were shorter than(33.21±10.32)h,(66.72±7.41)min,and(7.13±2.31)d of the control group;all the differences were statistically significant(P<0.05).The recurrence rate in the observation group was 2.50%,which was lower than 17.50%in the control group,and the difference was statistically significant(P<0.05).Conclusion The implementation of ultrasound and hysteroscopy can lower the complication rate and recurrence rate,and reduce the intraoperative blood loss,exhaust time,operation time and hospitalization time,which is worthy of clinical application and promotion.