摘要
目的探讨对子宫黏膜下肌瘤患者实施宫腔镜手术治疗的疗效及安全性。方法随机选取2016年1月—2021年9月盐城市大丰人民医院妇产科接诊的确诊为子宫黏膜下肌瘤患者80例,均采取手术治疗,将其以数表法随机分为宫腔镜组(laparoscopic)和腹腔镜组(hysteroscopic),每组40例。腹腔镜组实施腹腔镜手术治疗,宫腔镜组实施宫腔镜治疗。对比两组治疗效果、手术相关指标、术后并发症发生情况、安全性等情况。结果宫腔镜组临床治疗总有效率为97.50%显著高于腹腔镜组,差异有统计学意义(P<0.05);宫腔镜组手术时间(40.36±5.35)min、术中出血量(39.58±3.56)mL,术后排气时间(10.84±2.45)h及住院时间(3.30±1.08)d显著优于腹腔镜组,差异有统计学意义(t=36.707、44.271、21.755、8.924,P<0.05);治疗前,两组卵巢功能指标差异无统计学意义(P>0.05);经治疗后,宫腔镜组LH水平、E2水平及FSH水平改善情况均优于腹腔镜组,差异有统计学意义(P<0.05);宫腔镜组并发症发生率与腹腔镜组对比,差异无统计学意义(P>0.05);宫腔镜组肌层愈合率显著高于腹腔镜组,差异有统计学意义(P<0.05)。结论通过对子宫黏膜下肌瘤患者实施宫腔镜与腹腔镜治疗,均能获得良好效果,但宫腔镜更加具有微创优势,安全性更高。
Objective To investigate the efficacy and safety of hysteroscopic surgery for patients with uterine submucous myoma.Methods 80 patients diagnosed with uterine submucosal fibroids were randomly selected from the Obstetrics and Gynecology Department of Dafeng People's Hospital in Yancheng City from January 2016 to September 2021,all of whom underwent surgical treatment.They were randomly divided into a hysteroscopy group(laparoscope)and a laparoscopy group(hysteroscope)using a number table method,with 40 patients in each group.The laparoscopic group underwent laparoscopic surgery,while the hysteroscopic group underwent hysteroscopic treatment.Compare the treatment effectiveness,surgical related indicators,postoperative complications,and safety between the two groups.Results The total effective rate of clinical treatment in the hysteroscopy group was 97.50%,which was significantly higher than that in the laparoscopic group,the difference was statistically significant(P<0.05);the hysteroscopy group had significantly better surgical time(40.36±5.35)min,intraoperative bleeding volume(39.58±3.56)mL,postoperative exhaust time(10.84±2.45)h,and hospital stay(3.30±1.08)d compared to the laparoscopic group,the difference was statistically significant(t=36.707,44.271,21.755,8.924,P<0.05);before treatment,there was no statistically significant difference in ovarian function indicators between the two groups(P>0.05);after treatment,the improvement of LH,E2,and FSH levels in the hysteroscopic group was better than that in the laparoscopic group,the difference was statistically significant(P<0.05);there was no statistically significant difference in the incidence of complications between the hysteroscopy group and the laparoscopic group(P>0.05);the myometrial healing rate in the hysteroscopy group was significantly higher than that in the laparoscopic group,the difference was statistically significant(P<0.05).Conclusion Both hysteroscopy and laparoscopy can achieve good results for patients with uterine submucous myoma,but hysteroscopy is more minimally invasive with higher safety.
作者
朱建平
ZHU Jianping(Department of Obstetrics and Gynecology,Dafeng People's Hospital,Yancheng,Jiangsu Province,224100 China)
出处
《中外医疗》
2023年第11期68-72,共5页
China & Foreign Medical Treatment
关键词
宫腔镜
子宫黏膜下肌瘤
腹腔镜
临床疗效
安全性
Hysteroscope
Uterine submucous myoma
Laparoscopy
Clinical effect
Security
