腹腔镜下子宫肌瘤剔除术与子宫全切术治疗多发性子宫平滑肌瘤的疗效对比

Comparison of laparoscopic myomectomy and total hysterectomy in the treatment of multiple uterine leiomyomas

目的探讨腹腔镜下子宫肌瘤剔除术和子宫全切术治疗多发性子宫平滑肌瘤的临床效果。方法选取40例多发性子宫平滑肌瘤患者,根据患者需求分为对照组和试验组,每组20例。对照组使用腹腔镜下子宫全切术治疗,试验组使用腹腔镜下子宫肌瘤剔除术治疗。比较两组手术前后卵巢功能、性功能及并发症发生情况。结果术后,试验组卵泡刺激素、促黄体生成素水平明显低于对照组,雌二醇水平高于对照组,差异有统计学意义(P<0.05)。术后,两组性欲、性满意度、性唤起评分均高于本组术前,且试验组性欲、性满意度、性唤起评分高于对照组,差异有统计学意义(P<0.05)。试验组术后并发症发生率5%明显低于对照组的35%,差异有统计学意义(P<0.05)。结论对多发性子宫平滑肌瘤患者行腹腔镜下子宫肌瘤剔除术效果显著,安全性更高,对身体造成创伤性较小,可有效提高患者术后的生活质量。

Objective To investigate the clinical effects of laparoscopic myomectomy and total hysterectomy in the treatment of multiple uterine leiomyomas. Methods 40 patients with multiple uterine leiomyoma were divided into control group and experimental group, with 20 cases in each group. The control group was treated with laparoscopic total hysterectomy, and the experimental group was treated with laparoscopic myomectomy. Ovarian function, sexual function and complications were compared between the two groups before and after operation. Results After operation, follicle-stimulating hormone and luteinizing hormone in experimental group were significantly lower than those in control group, and estradiol level was higher than that in control group, the difference was statistically significant(P<0.05). After surgery, scores of sexual desire, sexual satisfaction and sexual arousal in both groups were higher than those before surgery, and scores of sexual desire, sexual satisfaction and sexual arousal in the experimental group were higher than those in the control group, the difference was statistically significant(P<0.05). The postoperative complication rate of 5% in the experimental group was significantly lower than 35% in the control group, and the difference was statistically significant(P<0.05). Conclusion Laparoscopic myomectomy for patients with multiple uterine leiomyoma has significant effect,higher safety, less trauma to the body, and can effectively improve the quality of life of patients after surgery.