三种不同手术方式治疗子宫肌瘤的方法及疗效.docVIP

精品论文 参考文献 三种不同手术方式治疗子宫肌瘤的方法及疗效 路彩侠 李雯 王琼(淮南市新华医疗集团北方医院 232082) 　　【摘要】目的 探讨三种不同手术方式治疗子宫肌瘤的方法及疗效。方法 对近年来收治的75例子宫肌瘤患者的临床资料加以分析，其中对照组为a组25例行开腹子宫肌瘤剥除术，实验组50例再分为b组和c组各25例。b组为阴式子宫肌瘤剥除术。c组为腹腔镜子宫肌瘤剥除术。随访2月，比较三组患者手术时间、术中出血量、肛门排气、住院天数、手术费用等临床指标，结果 三组比较，治疗后实验组的手术时间、术中出血量、肛门排气、住院天数、手术费用等临床指标均优于对照组，差异有统计学意义（Plt;0.05).结论 采用阴式或腹腔镜子宫肌瘤剔除术治疗子宫肌瘤，具有手术损伤小术中出血少，术后恢复快,临床疗效显著等优点 　　【关键词】开腹剔除术 子宫肌瘤 阴式剔除术 腹腔镜剥除术 　　【中图分类号】R713.4 【文献标识码】A 【文章编号】1672-5085（2014）25-0147-01 　　【Abstract】Objective: To investigate three different surgical methods for treating uterine fibroids and efficacy. Methods. An analysis of the clinical data of 75 patients with uterine fibroids treated in recent years, in which the control group was a group of 25 cases of uterine fibroids open cystectomy, the experimental group of 50 patients in group b and c are further divided into 25 cases in each group . b group vaginal uterine fibroids cystectomy. c group laparoscopic cystectomy uterine fibroids. Clinical follow-up indicators in February compared three groups of patients with operative time, blood loss, flatus, days of hospitalization, surgery costs, the results of the three groups, the experimental group after treatment, operative time, blood loss, flatus , the number of days of hospitalization, surgery costs and other clinical indicators are better than the control group, the difference was statistically significant (P lt;0.05). conclusion, the use of vaginal or laparoscopic myomectomy treatment of uterine fibroids, has a small surgical trauma surgery less bleeding, faster recovery, significant clinical effect, etc. 　　【Key words】abdominal myomectomy uterine fibroids vaginal myomectomy laparoscopic cystectomy 　??目前，患子宫肌瘤在30岁以上妇女中有20%的发病率，而临床治疗方案便是行子宫肌瘤剔除术。随着女性对身体完整性及子宫生理功能的不断重视，以及微创概念的不断普及,选择何种适合与基层医院开展的手术方式已成为我们所关心的问题[1]。因此，现将本院研究不同手术方式治疗子宫肌瘤的方法及疗效现报道如下。 　　1 资料与方法 　　1.1 临床资料 对近年来本院收治的75例子宫肌瘤患者的临床资料进行回顾性分析，其中年龄24～52岁，平均年龄（38.2plusmn;5.6）岁。其中单发性子宫肌瘤35