子宫肌瘤采取腹腔镜与开腹手术治疗的临床疗效.docVIP

精品论文 参考文献 子宫肌瘤采取腹腔镜与开腹手术治疗的临床疗效 湖南省岳阳县妇幼保健院 414100 摘要：目的 探究临床上应用腹腔镜与开腹手术两种不同的方法治疗子宫肌瘤的效果。方法 选取2012年3月—2013年3月在我院采用手术治疗的子宫肌瘤患者82例，根据手术方式的不同对82例患者进行分组，采用传统的开腹手术进行治疗的患者39例，为对照组；采用腹腔镜手术进行治疗43例，为观察组。对两组患者的临床资料进行回顾性的分析，并对两组患者的手术时间、术中的出血量、术后的排气时间、住院时间以、并发症的情况以及妊娠结局进行统计学比较。结果 观察组的手术时间明显长于对照组，而术中出血量、术后排气时间以及术后住院时间均显著优于对照组。两组患者术后并发症、妊娠结局差异不显著，无统计学意义。结论 应用腹腔镜对子宫肌瘤进行剔除，创伤小，并发症少，比较安全，而且缩短了住院时间，是一种比较理想的治疗方法。 关键词：子宫肌瘤；开腹手术；腹腔镜；临床疗效 【 abstract 】：objective to explore the clinical application of laparoscopic and open operation of two different methods for the treatment of uterine fibroids.Methods selected 2012 March 2013 3 months in our hospital with 82 cases of surgical treatment of uterine fibroids，according to the different surgical methods of 82 patients were grouped by traditional laparotomy for treatment of 39 cases of patients，as the control group；by laparoscopic surgery in the treatment of 43 cases，as the observation group.The clinical data of two groups of patients were retrospective analysis，and the two groups of patients with operation time，intraoperative bleeding volume，postoperative exhaust time，hospitalization time，complications and pregnancy outcomes were statistically compared.Results the operation time of the observation group was significantly longer than that of the control group，and the amount of bleeding，postoperative exhaust time and hospitalization time were significantly better than the control group.There was no significant difference between the two groups of patients with postoperative complications，pregnancy outcome，no statistically significant.Conclusion the application of laparoscopic to eliminate uterine fibroids，small trauma，fewer complications，safer，and shorten the length of hospital stay，is an ideal treatment method. 【 key words 】：uterine fibroids；Open operation.Laparoscope；Clinical curative effect 子宫肌瘤是一种较常见的良性肿瘤，多发于30～50岁的女性，在女性生殖器肿瘤中所占的比例高达30%，因其由子宫平滑肌细胞增生形成，且含有少量的纤维结缔组织，故又被称为子宫平滑肌瘤和子宫纤维肌瘤[1]。其发病原因及机理尚不明确，临床上常采用手术进行处理，以往以开腹手术为主，随着科学技