腹腔镜子宫肌瘤剔除术与传统开腹术治疗子宫肌瘤的疗效比较分析.docVIP

腹腔镜子宫肌瘤剔除术与传统开腹术治疗子宫肌瘤的疗效比较分析 　　摘要：目的：比较腹腔镜下子宫肌瘤剔除术与传统开腹术治疗子宫肌瘤的疗效。方法：选取2011年3月-2012年3月我院妇产科收治的126例子宫肌瘤患者为研究对象，根据手术的方式的不同分为观察组（66例）与对照组（60例），观察组行腹腔镜子宫肌瘤剔除术，对照组行传统开腹术，对比分析两组患者疗效、术中及术后情况。结果：观察组的手术时间、住院时间、术后排气时间少于对照组短，术中出血量少，两组比较差异具有统计学意义（P0.05）；观察组镇痛药使用率低于对照组，切口甲级愈合率高于对照组，两组比较差异具有统计学意义（P0.05）。两组患者术后复发率差异无统计学意义。结论：腹腔镜下行子宫肌瘤剔除术临床疗效优于传统开腹术，值得在临床上推广。 　　关键词：腹腔镜；子宫肌瘤；传统开腹术 　　Abstract：Objective： To compare the clinical effect of laparoscopic operation and traditional open surgery in the treatment of uterine fibroids. Methods： 126 cases with uterine fibroids in our hospital were the research object from March 2013 to March 2014. According to the different treatment methods the cases were divided into the observation group（60 cases）and the contrast group（66 cases）.The observation group used laparoscopic operation， contrast group used traditional open surgery. Some indexes in the operation and post operation were compared in two groups. Results： The operation time， hospitalization time， postoperative exhaust time of observation group were shorter than the contrast group， the amount of bleeding during operation were lesser than the contrast， the difference was statistically significant. The analgesics of observation group was less than the control group， and the wound healing rate was higher than the control group， the difference were both had statistically significant （p0.05）.The recurrence rate after operation had no significant difference. Conclusion： The clinical curative effect of laparoscopic operation is better than traditional open surgery in the treatment of uterine fibroids， it is worth promoting in clinical. 　　Keywords： laparoscopic； uterine fibroids； traditional open surgery 　　子宫肌瘤是临床上女性生殖系统常见的良性肿瘤，多见于30～50岁的妇女[1]。目前子宫肌瘤主要的治疗方法有腹腔镜下子宫剔除术与传统开腹术。本文选取2011年3月-2012年3月我院妇产科收治确诊为子宫肌瘤的126例患者作为研究对象，比较两种方法的临床治疗效果。报道如下。 　　1 资料与方法 　　1.1 一般资料 　　选取2011年3月-2012年3月我院妇产科收治的126例子宫肌瘤患者为研究对象，根据手术的方式的不同分为观察组（66例）与对照组（60例），观察组平均年龄（35.63±2.52）岁，单发性肌瘤36例，多发性肌瘤7例，肌壁间肌瘤15例，浆膜下肌瘤3例