腹腔镜手术治疗子宫肌瘤的临床分析

Clinical Analysis of Laparoscopic Surgery in Treatment of Hysteromyoma

目的分析腹腔镜手术在子宫肌瘤治疗中所发挥的作用。方法选择我院在2014年7月至2017年9月诊治的子宫肌瘤患者86例进行治疗分析,随机将患者分为观察组和对照组各43例,观察组采用腹腔镜手术治疗,对照组进行开腹手术治疗,对比两组患者的手术时间、出血量、排气时间和术后并发症发生例数。结果观察组手术时间为(53.7±1.14)min,对照组手术时间为(82.8±1.36)min,观察组手术时间短;观察组术中出血量为(54.7±1.84)mL,对照组术中出血量为(95.5±1.75)mL,观察组术中出血量少;观察组术后肛门排气时间为(17.46±1.55)h,对照组术后肛门排气时间为(36.67±1.82)h,观察组术后排气时间短,各项数据对比P <0.05。观察组术后出现2例并发症,对照组出现10例并发症,观察组手术安全性更好(P <0.05)。结论在子宫肌瘤的手术治疗中,腹腔镜手术能够缩短手术时间,减少出血,术后恢复快,安全性好,治疗价值高。

Objective To analyze function of laparoscopic surgery in treatment of hysteromyoma. Methods Choose and analyze 86 cases hysteromyoma patients treated in our hospital from July 2014 to September 2017. Divide them into observation group and control group randomly, 43 cases in each group. Observation group was treated with laparoscopic surgery, and control group with laparotomy. Compare operation time, bleeding volume, exhaust time and postoperative complication numbers between two groups. Results Operation time of observation group was(53.7±1.14) minutes, shorter than(82.8±1.36) minutes of control group. Intraoperative bleeding volume of observation group was(54.7±1.84) mL, less than(95.5±1.75) mL of control group. Postoperative anal exhaust time of observation group was(17.46±1.55) h, shorter than(36.67±1.82) of control group. Data comparison showed P<0.05. Postoperative complications in observation group were 2 cases and 10 cases in control group. Operation safety of observation group was better(P<0.05). Conclusion Laparoscopic surgery can shorten operation time, reduce bleeding, recover fast with good safety and high treatment value during surgical treatment of hysteromyoma.