腹腔镜子宫肌瘤剔除术与传统经腹剜瘤术治疗子宫肌瘤临床效果对比评价

Comparative evaluation of the clinical effect of laparoscopic myomectomy and traditional abdominal enucleation in the treatment of uterine fibroids

目的:研究患者经腹腔镜子宫肌瘤剔除术与传统经腹剜瘤术治疗子宫肌瘤的疗效差异。方法:筛选2018年1月至2021年5月在本院住院诊疗的子宫肌瘤患者100例,术前对患者进行充分评估,依据患者病情、结合患者意愿分组(观察组n=50,对照组n=50),对比两组患者手术后各项指标的恢复及预后效果,进行直观评价。结果:观察组术中出血量、术后下床活动时间、住院时间均短于对照组(P<0.05),观察组手术持续时间与对照组无统计学意义(P>0.05);观察组患者术后并发症总发生率(6.00%)、随访期间子宫形态正常比例(94.00%)、月经转归正常比例(96.00%)均优于对照组(P<0.05)。观察组随访期间复发率(6.00%)低于对照组,但无统计学意义(P>0.05)。结论:经腹腔镜子宫肌瘤剔除术与传统经腹子宫肌瘤剜除术相比,腹腔镜微创手术能给予子宫肌瘤患者术中更高的安全性和术后更好的恢复效果,患者术中创伤明显减少,术后舒适度明显增加,预后效果更佳,具有积极价值。

Objective:To study the difference between laparoscopic myomectomy and traditional abdominal myomectomy in the treatment of uterine fibroids.Methods:100 patients with hysteromyoma who were hospitalized in our hospital from January 2018 to May 2021 were selected,and the patients were fully evaluated before operation.They were divided into two groups according to the patient's condition and patients'wishes(observation group n=50,control group n=50),and the recovery and prognosis of the two groups were compared.Results:The intraoperative blood loss,postoperative ambulation time and hospitalization days of the observation group were shorter than those of the control group(P<0.05),and the operation duration of the observation group was not statistically significant(P>0.05);The total incidence of postoperative complications in the observation group(6.00%),the proportion of normal uterine morphology(94.00%)and normal menstrual outcome(96.00%)during the follow-up period were lower than those in the control group(P<0.05).During the follow-up period,the recurrence rate of the observation group(6.00%)was lower than that of the control group,but there was no statistical significance(P>0.05).Conclusion:Compared with the traditional laparoscopic myomectomy,laparoscopic minimally invasive surgery can give patients with uterine fibroids higher safety and better postoperative recovery effect,significantly reduce the intraoperative trauma,significantly increase postoperative comfort,better prognosis,with positive value,which is worthy of promotion by every gynecologist.