摘要
目的探讨子宫肌瘤患者采用腹腔镜剔除(Laparoscopic Myomectomy,LM)的效果及对机体创伤的影响。方法便利选取2021年7月—2023年6月沭阳县中医院收治的58例子宫肌瘤患者为研究对象,按抽签法随机分为对照组(开腹手术治疗,29例)与干预组(LM治疗,29例),比较两组疗效、手术指标、卵巢功能与并发症发生率。结果干预组治疗总有效率为96.55%,高于对照组的72.41%,差异有统计学意义(χ^(2)=4.735,P<0.05)。干预组术中出血量、术后肛门首次排气时间、首次下床活动时间、住院时间分别(61.76±5.86)mL、(21.38±4.43)h、(20.11±5.37)h、(5.26±0.56)d,均优于对照组,差异有统计学意义(t=28.943、7.874、5.909、11.717,P均<0.05)。干预组抗缪勒管激素、卵泡刺激素、雌二醇分别(1.93±0.17)ng/mL、(7.38±1.11)U/L、(131.75±6.12)pmol/L,均高于对照组,差异有统计学意义(t=2.535、3.964、17.809,P均<0.05)。干预组并发症发生率为3.45%,低于对照组的27.59%,差异有统计学意义(χ^(2)=4.735,P<0.05)。结论LM治疗子宫肌瘤效果较好,可优化手术指标,提高卵巢功能,降低术后并发症发生率。
Objective To discuss the efficacy and impacts on organism trauma of laparoscopic myomectomy(LM)applied to patients with uterine fibroids.Methods 58 patients with uterine fibroids admitted to Shuyang County Hospital of Traditional Chinese Medicine from July 2021 to June 2023 were conveniently selected as the study objects,and were randomly divided into the control group(open surgery,29 cases)and the intervention group(LM treatment,29 cases)according to the drawing method.The efficacy,surgical indexes,ovarian function and complication rate of the two groups were compared.Results The total effective rate of the intervention group was 96.55%,which was higher than that of the control group(72.41%),the difference was statistically significant(χ^(2)=4.735,P<0.05).The amount of intraoperative blood loss,the first postoperative anal exhaust,the first time out of bed,and the time of hospitalization in the intervention group were(61.76±5.86)mL,(21.38±4.43)h,(20.11±5.37)h,and(5.26±0.56)d,respectively,which were better than those in the control group,the differences were statistically significant(t=28.943,7.874,5.909,11.717,all P<0.05).The levels of anti-Muller-tube hormone,follicle stimulating hormone,and estradiol in the intervention group were(1.93±0.17)ng/mL,(7.38±1.11)U/L and(131.75±6.12)pmol/L,respectively,higher than those in the control group,and the differences were statistically significant(t=2.535,3.964,17.809,all P<0.05).The incidence of complications in the intervention group was 3.45%,which was lower than that in the control group(27.59%),and the difference was statistically significant(χ^(2)=4.735,P<0.05).Conclusion LM treatment for uterine fibroids has a good effect,which can optimize surgical indicators,improve ovarian function,and reduce the incidence of postoperative complications.
作者
张岩
陆瑞
吴志兵
吴苗苗
ZHANG Yan;LU Rui;WU Zhibing;WU Miaomiao(Department of Gynecology and Obstetrics,Shuyang County Hospital of Traditional Chinese Medicine,Shuyang,Jiangsu Province,223600 China)
出处
《中外医疗》
2024年第5期66-69,共4页
China & Foreign Medical Treatment
