腹腔镜子宫肌瘤剥除术对子宫肌瘤患者疗效及术后康复的影响

Effect of laparoscopic hysteromyomectomy on the efficacy and postoperative rehabilitation of patients with hysteromyoma

目的分析子宫肌瘤患者采用腹腔镜子宫肌瘤剥除术的临床疗效。方法选取60例子宫肌瘤患者,以随机数字表法分为对照组和治疗组,各30例。对照组行开腹手术治疗,治疗组行腹腔镜子宫肌瘤剥除术治疗,比较两组各项指标。结果与对照组比较,治疗组术后24 h血清雌二醇水平降低,血清促黄体生成素、卵泡刺激素水平升高;与对照组比较,治疗组住院、肛门排气、手术时间均缩短;术中出血量减少;与对照组比较,治疗组术后7 d内并发症减少,差异有统计学意义(P<0.05)。结论子宫肌瘤患者采用腹腔镜子宫肌瘤剥除术治疗可显著减少并发症的发生,促进临床指标的快速改善,有利于性激素水平维持平衡。

Objective To analyze the clinical effect of laparoscopic hysteromyomectomy in patients with hysteromyoma.Methods A total of 60 patients with hysteromyoma were selected and divided into the control group and the treatment group by random number table method,with 30 cases in each group.The control group was treated with open surgery,and the treatment group was treated with laparoscopic hysteromyomectomy.The clinical efficacy of the two groups was compared.Results Compared with the control group,the level of serum estradiol decreased and the level of serum luteinizing hormone and follicle stimulating hormone increased in the treatment group 24 h after operation.Compared with the control group,hospitalization,anal exhaust and operation time were shortened in the treatment group the amount of intraoperative bleeding in the treatment group decreased;compared with the control group,the complications in the treatment group reduced within 7 days after operation,and the difference was statistically significant(P<0.05).Conclusion Laparoscopic myomectomy can significantly reduce the incidence of complications in patients with uterine fibroids,promote the rapid improvement of clinical indicators,and help to maintain the balance of sex hormone levels.