腹腔镜子宫肌瘤剔除术与宫腔镜子宫肌瘤电切术治疗子宫黏膜下肌瘤的临床效果比较

Comparison of the clinical effect of laparoscopic myomectomy and hysteroscopic transcervical resection of myoma in the treatment of uterine submucous myoma

目的比较腹腔镜子宫肌瘤剔除术与宫腔镜子宫肌瘤电切术治疗子宫黏膜下肌瘤的临床效果。方法选取2021年10月至2023年12月青岛市即墨区第二人民医院收治的120例子宫黏膜下肌瘤患者,按照随机数字表法分为两组,各60例。对照组行腹腔镜子宫肌瘤剔除术,观察组行宫腔镜子宫肌瘤电切术,比较两组手术相关指标、生活质量、并发症及卵巢功能。结果观察组手术时间、术后排气时间、下床时间及住院时间分别为(45.85±4.39)min、(12.18±1.34)h、(7.79±1.12)h、(3.58±0.41)d,短于对照组的(50.49±5.17)min、(17.86±1.45)h、(15.36±1.37)h、(5.05±0.87)d(P<0.05);两组术前、术后卵巢功能比较无差异(P>0.05);观察组术后生理、心理、社会、环境维度评分为(88.41±5.24)分、(87.65±5.31)分、(86.98±5.25)分、(89.54±5.22)分,高于对照组的(81.09±5.17)分、(80.47±5.25)分、(80.32±5.17)分、(82.86±5.19)分(P<0.05);观察组并发症总发生率低于对照组(P<0.05)。结论宫腔镜子宫肌瘤电切术在子宫黏膜下肌瘤中的应用效果更佳,可改善手术相关指标及生活质量,降低并发症发生率。

Objective To compare the clinical effect of laparoscopic myomectomy and hysteroscopic transcervical resection of myoma in the treatment of uterine submucosal myoma.Methods A total of 120 patients with uterine submucosal myoma admitted to the Qingdao Jimo District the Second People's Hospital from October 2021 to December 2023 were selected and divided into two groups according to the random number table method,with 60 cases in each group.The control group was treated with laparoscopic myomectomy,and the observation group was treated with hysteroscopic transcervical resection of myoma.The operation related indicators,quality of life,complications,and ovarian function were compared between the two groups.Results The operation time,postoperative exhaust time,ambulation time,and hospitalization time of the observation group were(45.85±4.39)min,(12.18±1.34)h,(7.79±1.12)h,and(3.58±0.41)d,respectively,which were shorter than those in the control group of(50.49±5.17)min,(17.86±1.45)h,(15.36±1.37)h,and(5.05±0.87)d(P<0.05).There was no significant difference in ovarian function between the two groups before and after operation(P>0.05).The scores of physiological,psychological,social,and environmental dimensions in the observation group were(88.41±5.24)points,(87.65±5.31)points,(86.98±5.25)points and(89.54±5.22)points,which were higher than those in the control group of(81.09±5.17)points,(80.47±5.25)points,(80.32±5.17)points,(82.86±5.19)points(P<0.05).The total incidence of complications in the observation group was lower than that in the control group(P<0.05).Conclusion Hysteroscopic transcervical resection of myoma is more effective in the application of uterine submucosal myoma,which can improve the operation related indicators and quality of life,and reduce the incidence of complications.