腹腔镜与传统开腹手术治疗子宫肌瘤效果随机对照研究.docVIP

精品论文 参考文献 腹腔镜与传统开腹手术治疗子宫肌瘤效果随机对照研究 邵阳市中心医院 湖南邵阳 421000 【摘 要】目的 探讨腹腔镜与传统开腹手术治疗子宫肌瘤的效果。方法 选取本院2014年10月至2015年10月收治的96例子宫肌瘤病患作为研究对象，随机分为对照组和观察组，各48例。分别给予传统开腹手术治疗和腹腔镜手术治疗，比较两组病患术中出血量、术后肛门排气、术后住院时间、手术时间、并发症发生率。结果 两组病患手术时间无明显差异，观察组术中出血量、术后肛门排气、术后住院时间明显小于对照组，差异具有统计学意义（Plt;0.01）；观察组并发症发生率为6.25%，低于对照组20.83%，差异具有统计学意义（Plt;0.05）。结论 腹腔镜手术治疗子宫肌瘤能显著减少术中出血量、住院时间等，具有术后恢复快、疼痛少、创伤小、术后并发症少等优点，值得推广应用。 【关键词】腹腔镜；传统开腹手术；子宫肌瘤 【Abstract】 objective to investigate the laparoscopic and traditional open surgery for the treatment of uterine fibroids. Selection methods in our hospital in October 2014 to October 2015, 96 cases of hysteromyoma patients as the research object, were randomly divided into control group and observation group, 48 cases each. Treatment were given conventional laparotomy and laparoscopic surgery, compared two groups of patients, intraoperative blood loss, postoperative anal exhaust, length of hospital stay, operative time, postoperative complications. Results no difference between the two groups of patients, operation time, intraoperative blood loss, postoperative observation group anal exhaust, postoperative hospital stay, less than the control group obviously, statistically significant difference (P lt; 0.01); The complication rate of observation group was 6.25%, 20.83% lower than the control group, the difference statistically significant (P lt; 0.05). Conclusion laparoscopic surgery treatment of uterine fibroids can significantly reduce intraoperative blood loss, hospital stay, etc., has quick recovery, less pain, small trauma, less postoperative complications, worthy of popularization and application. 【Key words】 laparoscopic; Traditional open operation; Uterine fibroids 子宫肌瘤是女性生殖器官中常见的一种良性肿瘤，多发年龄段30-50岁，且随着年龄增长，子宫肌瘤癌变率变低，约为0.4%-0.8%[1]。子宫肌瘤治疗方法根据病患的症状和肌瘤的大小、位置、数目等综合进行考虑，对于无生育需要的病患可选择腹腔镜子宫切除术，对于需保留生育功能的病患可行腹腔镜子宫肌瘤剔除术，该手术术后创伤小、术后恢复快，是近年来深受欢迎的微创手术方法[2]。本院旨在对比腹腔镜与传统开腹手术治疗子宫肌瘤效果，现报告如下。 1 资料与方法 1.1 一般资料 选取本院2014年10月至201