腹腔镜下子宫腺肌瘤切除术的临床研究

Clinical Study of Laparoscopic Myomectomy

目的对腹腔镜下进行子宫腺肌瘤切除术进行临床观察和研究。方法选取我院2012年1月至2017年3月收治的110例进行子宫腺肌瘤切除术患者采用腹腔镜下病灶切除术治疗,比较患者手术前后的疼痛缓解、月经量、贫血和子宫体积等情况。结果术后24个月有60例(54.5%)患者疼痛消失或明显缓解,15例(13.6%)患者无效或复发,但较术前症状仍减轻。术后患者月经量、血红蛋白、子宫体积的情况均优于术前,差异有统计学意义(P<0.05),但月经周期、经期无明显变化(P>0.05)。结论腹腔镜下病灶切除术治疗子宫腺肌病,能够在有效改善临床症状的基础上保留子宫,提高患者术后生活质量,值得推广。

Objective To observe and study the clinical effect of laparoscopic myomectomy. Methods 110 cases of patients with uterine fibroids were treated with laparoscopic resection of lesions, compared with patients before and after surgery pain relief, menstrual volume, anemia and uterine volume, etc. Results At 24 months after operation, 60 patients(54.5%) had pain relief or remission,15 patients(13.6%) were not effective or relapsed,but the symptoms remained unchanged. After operation, the menstrual volume, hemoglobin, uterine volume were better than preoperative, the difference was statistically significant(P<0.05), but no significant changes in menstrual cycle and menstrual period(P>0.05). Conclusion Laparoscopic resection of adenomyosis can improve the clinical symptoms of uterine preservation, improve the quality of life of patients, it is worthy of promotion.