腹腔镜与开腹子宫肌瘤手术对肌瘤复发及妊娠情况的影响

Effect of Laparoscopy and Laparotomy with Recurrence and Pregnancy of Myoma

目的探讨腹腔镜与开腹子宫肌瘤手术对肌瘤复发及妊娠情况的影响。方法选择2016年1月至2017年3月本院收治的子宫肌瘤患者80例,按照随机数字法分为两组,每组40例。所有患者均于全身麻醉气管插管下实施手术治疗,对照组行开腹手术治疗,观察组行腹腔镜手术,比较两组手术情况,统计并发症,并通过电话与门诊随访相结合方式,两组术后再发子宫肌瘤以及术后自然妊娠情况。结果观察组手术时间明显短于对照组(P<0.05),术中出血明显少于对照组(P<0.05),术后总住院时间明显短于对照组(P<0.05),观察组术后伤口愈合延迟、切口感染以及术后疼痛的比例显著少于对照组(P<0.05),观察组术后再发子宫肌瘤比例明显少于对照组(P<0.05),术后自然妊娠率明显大于对照组(P<0.05)。结论针对子宫肌瘤患者,实施腹腔镜手术,可有效缩短手术时间,减少手术出血,促进患者术后恢复,且术后复发率低,更利于术后自然妊娠。

Objective To explore the effect of laparoscopy and laparotomy with recurrence and pregnancy of myoma.Methods 80 patients with uterine fibroids admitted in our hospital from January 2016 to March 2017 were selected and randomly divided into two group,40 cases in each group.All patients were used systemic under tracheal intubation anesthesia surgery treatment,the control group were used open operation treatment,the observation group were used laparoscopic surgery,then surgery time,complications,and combined with outpatient follow-up by telephone,two groups of postoperative recurrence and postoperative uterine fibroids natural pregnancies were compared with the two groups.Results The operation time in the observation group was obviously shorter than control group(P<0.05),the intraoperative hemorrhage in the observation group was significantly less than control group(P<0.05),postoperative hospitalization time in the observation group was shorter than control group(P<0.05),postoperative wound healing,infection of incision,increase of delay in the observation group were less than control group(P<0.05),the proportion of postoperative recurrence uterine fibroids in the observation group was obviously less than control group(P<0.05),postoperative pregnancy rate in the observation group was significantly greater than control group(P<0.05).Conclusion For patients with uterine fibroids and the implementation of laparoscopic surgery,which can effectively shorten the operation time and reduce the surgical bleeding,postoperative recovery,promote patients and postoperative recurrence rate is low,so it has more conducive to natural pregnancy after surgery.