摘要
目的探讨宫腔镜与腹腔镜治疗子宫黏膜下大肌瘤的效果比较。方法选择60例子宫黏膜下大肌瘤患者为研究对象,根据随机数字表法分为对照组与研究组,每组30例。对照组实施宫腔镜下子宫肌瘤切除术,研究组实施腹腔镜下子宫肌瘤切除术。比较两组手术情况、并发症情况、性激素水平。结果两组手术时间比较,差异无统计学意义(P>0.05);研究组术中出血量少于对照组,术后排气时间、住院治疗时间均短于对照组,差异均有统计学意义(P<0.05)。研究组并发症发生率低于对照组,差异有统计学意义(P<0.05)。治疗前,两组卵泡刺激素(FSH)、雌二醇(E_(2))水平比较,差异无统计学意义(P>0.05);治疗后,研究组FSH、E_(2)水平低于对照组,差异均有统计学意义(P<0.05)。结论子宫黏膜下大肌瘤患者采用宫腔镜和腹腔镜治疗,两种术式均有一定疗效,但是腹腔镜手术术中出血量少,术后康复时间段,并发症发生率低,并可促进FSH、E_(2)正常分泌,值得在临床上推广与应用。
Objective To compare the efficacy of hysteroscopy and laparoscopy in the treatment of large submucosal myoma of uterus.Methods Sixty patients with large submucosal myoma of uterus were randomly divided into control group and study group,with 30 cases in each group.Hysteroscopic myomectomy was performed in the control group,and laparoscopic myomectomy was performed in the study group.The operation,complications and sex hormone levels were compared between the two groups.Results There was no significant difference in operation time between the two groups(P>0.05).The intraoperative blood loss in the study group was less than that in the control group,and the postoperative exhaust time and hospitalization time were shorter than those in the control group,and the differences were statistically significant(P<0.05).The complication rate of the study group was lower than that of the control group,and the difference was statistically significant(P<0.05).Before treatment,there was no significant difference in follicle stimulating hormone(FSH)and estradiol(E_(2))levels between the two groups(P>0.05).After treatment,the levels of FSH and E_(2) in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Hysteroscopy and laparoscopy are both effective in the treatment of patients with large submucosal myoma of uterus.However,laparoscopy has less intraoperative blood loss,postoperative recovery time,low complication rate,and can promote the normal secretion of FSH and E_(2),which is worthy of clinical promotion and application.
作者
郑芮
Zheng Rui(Department of Gynecology,Chifeng Maternity Hospital of Inner Mongolia,Chifeng 024000,China)
出处
《实用妇科内分泌电子杂志》
2022年第15期48-51,共4页
Electronic Journal of Practical Gynecological Endocrinology
关键词
宫腔镜
腹腔镜
子宫黏膜下大肌瘤
术中出血量
性激素水平
Hysteroscopy
Laparoscope
Submucosal large myoma of the uterus
Intraoperative blood loss
Sex hormone levels
