腹腔镜与开腹子宫肌瘤剔除术治疗子宫肌瘤的临床效果比较(1)
[摘要]目的 比較腹腔镜与开腹子宫肌瘤剔除术治疗子宫肌瘤的临床效果。方法 选取2016年6月～2018年9月我院收治的150例子宫肌瘤患者作为研究对象，采用随机摸球法将其分为对照组(n=100)和观察组(n=50)。对照组患者采用开腹子宫肌瘤剔除治疗，观察组患者主要进行腹腔镜子宫肌瘤剔除治疗。比较两组患者的出血量、排气时间、住院时间、手术时间及术后并发症发生情况。结果 观察组患者的术中出血量少于对照组，手术时间长于对照组，住院时间以及术后排气时间短于对照组，差异有统计学意义(t=123.518、9.980、16.568、5.732，P<0.05)。观察组患者的并发症总发生率为2.00%(1/50)，低于对照组的7.00%(7/100)，差异有统计学意义(χ2=8.510，P<0.05)。两组患者的子宫肌瘤复发率、子宫异常率以及症状缓解率比较，差异无统计学意义(P>0.05)。结论 进行腹腔镜子宫肌瘤剔除治疗时，可有效缩短患者的住院时间，减少术中出血量，控制并发症，治疗效果显著，有临床应用价值。
[关键词]腹腔镜;开腹子宫肌瘤剔除术;子宫肌瘤;临床效果
[中图分类号] R271.7 [文献标识码] A [文章编号] 1674-4721(2019)11(b)-0110-03
Clinical effect comparison of laparoscopic and laparotomic hysteromyomectomy in the treatment of uterine fibroids
WU Ming-tao
Department of Gynecology， Pingxiang People′s Hospital， Jiangxi Province， Pingxiang 337000， China
[Abstract] Objective To compare the clinical effect of laparoscopic and laparotomic hysteromyomectomy in the treatment of uterine fibroids. Methods A total of 150 patients with uterine fibroids admitted to the hospital from June 2016 to September 2018 were selected as subjects. They were divided into the control group (n=100) and the observation group (n=50) by the random touch ball method. Patients in the control group were treated with laparotomic hysteromyomectomy， while patients in the observation group were mainly treated with laparoscopic hysteromyomectomy. The amount of bleeding， exhaust time， hospital stay， operation time and occurrence of postoperative complications were compared between the two groups. Results In the observation group， the amount of peroperative bleeding was less than that of the control group， the operation time was longer than that of the control group， and the hospital stay and postoperative exhaust time were shorter compared with those in the control group， the differences were statistically significant (t=123.518， 9.980， 16.568， 5.732; P<0.05). The total incidence of complications in the observation group was 2.00% (1/50)， which was lower than that in the control group accounting for 7.00% (7/100)， the difference was statistically significant (χ2=8.510， P<0.05). There were no significant differences in the rates of uterine fibroid recurrence， uterine abnormalities， and symptom relief between the two groups (P>0.05). Conclusion Application of laparoscopic hysteromyomectomy for uterine fibroids can effectively shorten the hospital stay and reduce the amount of intraoperative blood loss， control complications， and obtains a remarkable effect， which has clinical application value., 百拇医药(吴名桃)
[关键词]腹腔镜;开腹子宫肌瘤剔除术;子宫肌瘤;临床效果
[中图分类号] R271.7 [文献标识码] A [文章编号] 1674-4721(2019)11(b)-0110-03
Clinical effect comparison of laparoscopic and laparotomic hysteromyomectomy in the treatment of uterine fibroids
WU Ming-tao
Department of Gynecology， Pingxiang People′s Hospital， Jiangxi Province， Pingxiang 337000， China
[Abstract] Objective To compare the clinical effect of laparoscopic and laparotomic hysteromyomectomy in the treatment of uterine fibroids. Methods A total of 150 patients with uterine fibroids admitted to the hospital from June 2016 to September 2018 were selected as subjects. They were divided into the control group (n=100) and the observation group (n=50) by the random touch ball method. Patients in the control group were treated with laparotomic hysteromyomectomy， while patients in the observation group were mainly treated with laparoscopic hysteromyomectomy. The amount of bleeding， exhaust time， hospital stay， operation time and occurrence of postoperative complications were compared between the two groups. Results In the observation group， the amount of peroperative bleeding was less than that of the control group， the operation time was longer than that of the control group， and the hospital stay and postoperative exhaust time were shorter compared with those in the control group， the differences were statistically significant (t=123.518， 9.980， 16.568， 5.732; P<0.05). The total incidence of complications in the observation group was 2.00% (1/50)， which was lower than that in the control group accounting for 7.00% (7/100)， the difference was statistically significant (χ2=8.510， P<0.05). There were no significant differences in the rates of uterine fibroid recurrence， uterine abnormalities， and symptom relief between the two groups (P>0.05). Conclusion Application of laparoscopic hysteromyomectomy for uterine fibroids can effectively shorten the hospital stay and reduce the amount of intraoperative blood loss， control complications， and obtains a remarkable effect， which has clinical application value., 百拇医药(吴名桃)