腹腔镜下子宫肌瘤剔除术与开腹手术的临床治疗效果比较探讨

目的:对比分析腹腔镜下子宫肌瘤剔除术和开腹手术两种治疗方法的临床效果。方法:随机抽取84例2015年5月—2017年5月我院妇科门诊收治的子宫肌瘤患者进行研究,并随机分成两组采用不同的手术治疗,对照组42例行腹腔镜下子宫剔除术治疗,观察组42例行开腹手术治疗,对比两组患者的术后恢复情况。结果:组间对比显示,对照组的手术时间、排气时间、住院时间均显著短于观察组,术中出血量显著少于观察组,且并发症的发生率为2.38%,显著低于观察组的14.29%,上述指标差异经统计学分析均有意义(P<0.05)。结论:行腹腔镜下子宫肌瘤剔除术在保证治疗效果的基础上可以缩短手术时间,减少术中出血量,提高手术的安全性,促进患者的康复,缩短住院时间,降低术后并发症的发生率,提高生活质量,更适宜临床应用。

Objective to compare the clinical effects of laparoscopic hysteromyoma removal and open abdominal surgery.Methods Randomly selected 84 cases in May 2015 to May 2017, the hospital outpatient service of department of gynaecology treated patients with uterine fibroids, and randomly divided into two groups with different surgical treatment, control group for the treatment of 42 underwent laparoscopic uterine strip, treatment group 42 routine laparotomy, compared two groups of patients with postoperative recovery. Results Group, according to the comparison between the control group of operation time, exhaust time, length of hospital stay were significantly shorter in the observation group, intraoperative blood loss was significantly less than the observation group, and the incidence of complications was 2.38%, significantly lower than group of 14.29%, the above indexes were significant difference after statistics analysis(P<0.05).Conclusion Line laparoscopic uterine fibroids eliminate technique on the basis of guarantee treatment effect can shorten operation time, less intraoperative blood loss, to improve the safety of operation, promote the patient's recovery, shorter hospital stay, reduce the incidence of postoperative complications, improve the quality of life, more suitable for clinical application.