腹腔镜与开腹子宫肌瘤剥除术的临床效果分析.docVIP

精品论文 参考文献 腹腔镜与开腹子宫肌瘤剥除术的临床效果分析 吴红娜 王悦（通讯作者） 　　（郑州大学人民医院 河南 郑州 450000） 　　【摘要】 目的：分析讨论腹腔镜与开腹子宫肌瘤剥除术的临床效果。方法：2013年5月至2015年10月期间，选取子宫肌瘤患者147例，根据患者意愿自主选择治疗方式，并以此作为分组依据，73例患者接受开腹式手术，为对照组，另外74例患者接受经腹腔镜下手术，为观察组，比较两组患者治疗效果及安全性。结果：对照组患者手术时间、手术出血量、住院时间分别为（71.2plusmn;8.51）min、（145.6plusmn;10.73）ml、（9.4plusmn;2.02）d，观察组患者分别为（98.5plusmn;10.85）min、（88.4plusmn;11.38）ml、（6.3plusmn;2.67）d，而且，对照组患者在盆腔感染、阴道出血等并发症发生率上高于观察组，术后镇痛率观察组较低，差异具有统计学意义（P＜0.05）。结论：针对患者肿瘤的不同情况来看，两种手术方案各具利弊，但综合来讲，经腹腔镜下进行子宫肌瘤剔除具有恢复快、安全性高的优势。 　　【关键词】 腹腔镜；开腹式；子宫肌瘤剔除术 　　【中图分类号】R572 【文献标识码】A 【文章编号】2095-1752（2016）09-0050-02 　　Clinical effect analysis of laparoscope and uterine flesh tumour removal operation Wu Hongna, Wang Yue (corresponding author). 　　The Peoplersquo;s Hospital of Zhengzhou University, Hersquo;nan Province, Zhengzhou 450000,China 　　【Abstract】 Objective To investigate the clinical effect of laparoscope and uterine flesh tumour removal operation. Methods 147 cases with fibroid in our hospital from May 2013 to October 2015 were selected as study objects. They were divided into observation group and control group, 73 cases in each group. Observation group was given laparotomy and control group was given laparoscope surgery. Compared the treatment effect and safety of the two groups. Results Operation time, amount of bleeding, hospital stay of control group were (71.2plusmn;8.51)min、(145.6plusmn;10.73)ml、(9.4plusmn;2.02)d, and that of observation group were (98.5plusmn;10.85)min、(88.4plusmn;11.38)ml、(6.3plusmn;2.67)d. Occurrence rate of pelvic infection, vaginal bleeding of control group obviously higher than observation group. Postoperation analgesic rate of observation group was lower, the difference was statistically significant (Plt;0. 05). Conclusion Two kinds of operation plan have their pros and cons. But in general, laparoscope uterine flesh tumour removal operation can recovery quickly and has high safety. 　　【Key words】Laparoscope; Uterine flesh tumour;