摘要
目的 研究腹腔镜子宫肌瘤剔除术与经腹子宫肌瘤剔除术治疗子宫肌瘤的效果。方法 将2016年2月至2018年4月在我院接受手术治疗的子宫肌瘤患者100例作为研究对象,随机分为对照组和观察组各50例。两组患者分别接受经腹子宫肌瘤剔除术、腹腔镜子宫肌瘤剔除术,比较两组手术指标及术后并发症发生率。结果 对照组手术时间、术后肛门排气时间以及住院时间均显著长于观察组,观察组术中出血量少于对照组,两组比较差异有统计学意义(P<0.05)。对照组术后并发症发生率显著高于观察组,可见观察组治疗方法的安全性更高(P<0.05)。结论 在子宫肌瘤的临床治疗上,采用腹腔镜子宫肌瘤剔除术治疗的总体效果优于经腹子宫肌瘤剔除术,主要体现在能够优化手术指标,减少并发症,且患者术后恢复快,可进一步推广应用。
Objective To compare the effects of laparoscopic myomectomy and transabdominal myomectomy in the treatment of uterine fibroids.Methods From February 2016 to April 2018,100 patients with uterine leiomyoma who underwent surgery in our hospital were randomly divided into control group and observation group with50 cases in each group.The two groups were treated with transabdominal myomectomy and laparoscopic myomectomy respectively,and the operative indexes and postoperative complications were compared between the two groups.Results Compared with the control group,the operation time,postoperative anal exhaust time and hospitalization time of the patients in the control group were significantly longer than those in the observation group,while the amount of intraoperative bleeding in the observation group was less than that in the control group,the difference was significant(P<0.05).The incidence of postoperative complications in the control group was significantly higher than that in the observation group(P<0.05).Conclusion Laparoscopic myomectomy is superior to transabdominal myomectomy in the clinical treatment of uterine leiomyoma,which can optimize the surgical indicators,reduce complications,and patients recover quickly after operation.It can be further popularized and applied.
作者
陈清华
镇红霞
Chen Qinghua;Zhen Hongxia(Three and Hospital of Huiyang District,Huizhou 516211,China)
出处
《哈尔滨医药》
2019年第4期327-328,共2页
Harbin Medical Journal