摘要
目的探讨腹腔镜子宫肌瘤剔除术(TLM)治疗子宫肌瘤的效果及其对术后妊娠的影响。方法回顾2015年1月—2016年12月该院收治的156例有生育要求的子宫肌瘤患者资料,根据手术方法不同分组。对照组62例实施开腹子宫肌瘤剔除术(TARM),观察组94例实施TLM手术。观察两组手术残留率,术后并发症及术后3年患者妊娠情况。结果观察组术后3个月复查核磁发现残留[(0.49±0.16)个]与对照组[(0.47±0.12)个]比较差异无统计学意义(P>0.05)。观察组术后并发症发生率(26.38%)明显少于对照组(17.74%),术后3年妊娠率(62.77%)高于对照组(35.48%),差异有统计学意义(P<0.05)。结论TARM和TLM的效果相当,但TLM的术后并发症更少,对患者的影响更小,术后妊娠率更高。
Objective To explore the effects of total laparoscopic myomectomy(TLM)on treatment of uterine fibroids and its influence on pregnancy following surgery.Methods During from January 2015 to December 2016,a total of 156 hysteromyoma patients with fertility requirements performed operations in Bethume International Peace hospital,who were grouped according to different surgical methods.62 subjects in the control group underwent open abdominal myomectomy(TARM),and the other 94 ones in the observational group underwent TLM.The rate of residual fibroids,postoperative complications and the pregnancy rate of the patients within the postoperative 3 years were compared between two groups.Results Based on the MRI results within the postoperative 3 months,there was no statistical difference in the mean residual value between the observational group(0.49±0.16)and the control group(0.47±0.12)(P>0.05).The occurrence rate of postoperative complications in the observational group(26.38%)is less than that in the control group(17.74%).The pregnancy rate within the postoperative 3 years of the observational group(62.77%)is higher than that of the control group(35.48%),there were statistically significant differences(P<0.05).Conclusion Although TLM and TARM are not significantly different in their effects of removing the uterine fibroids,TLM has much fewer postoperative complications and less influence on the patients,and results in higher pregnancy rates of the patients than those undergoing TARM.
作者
梁磊
孙莉
杨波
吴园园
孙文湘
张蕾
LIANG Lei;SUN Li;YANG Bo(Department of Gynecology and Obstetrics,the 980 th Hospital of the Joint Logistic Support Force,Shijiazhuang,Hebei 050082,China)
出处
《中国妇幼保健》
CAS
2022年第1期165-167,共3页
Maternal and Child Health Care of China
基金
河北省医学科学研究重点课题计划(20160005)。
