腹腔镜子宫肌瘤切除术临床价值分析.docVIP

腹腔镜子宫肌瘤切除术临床价值分析 　　[摘要] 目的 探讨腹腔镜子宫肌瘤切除术的治疗效果及临床应用价值。 方法 整群选择该院2013年2月―2014年2月间收治的76例子宫肌瘤患者为研究对象，随机分为对照组38例，实施传统开腹子宫肌瘤切除术治疗，观察组38例，实施腹腔镜子宫肌瘤切除术治疗，对两组患者手术情况及术后恢复情况进行分析。 结果 观察组术手术时间较对照组长，但是术中出血量较低，术后排气时间及住院时间明显较对照组短，差异有统计学意义（P0.05）；观察组术后出现切口感染、盆腔粘连、切口红肿等并发症发生率为10.53%，较对照组26.32%低，差异有统计学意义（P0.05），观察组术后妊娠率为84.21%，明显较对照组55.26%高（P0.05）。 结论 子宫肌瘤采取腹腔镜子宫肌瘤切除术的创伤较小，并发症较少，可利于术后快速恢复，减少患者痛苦，提高术后妊娠率，值得推广。 　　[关键词] 子宫肌瘤；腹腔镜；开腹手术 　　[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2015）09（c）-0059-03 　　[Abstract] Objective To study the therapeutic effect and clinical value of laparoscopic myomectomy. Methods 76 patients with uterine fibroids admitted to this hospital between February 2013 and February 2014 were randomized to undergo traditional open surgery （the control group， n=38） and laparoscopic myomectomy （the observation group，n=38）. We analyzed the operation and postoperative recovery of the two groups. Results The operation duration was longer， but the intraoperative blood loss and postoperative exhaust time and hospital stay were shorter in the observation group than in the control group， and the differences were statistically significant， P0.05； the rate of complications including incision infection， pelvic adhesion， incision inflammation（10.53% vs 26.32%） was lower in the observation group than in the control group， and the difference was statistically significant， P0.05； the postoperative pregnancy rate （84.21% vs 55.26%） was significant higher in the observation group than in the control group with statistical difference， P0.05. Conclusions With less trauma and complications， laparoscopic myomectomy in the treatment of uterine fibroids is conducive to rapid postoperative recovery and can reduce the patients pain and improve pregnancy rate， therefore it is worthy of promotion. 　　[Key words] Uterine fibroids； Laparoscope； Open operation 　　子宫肌瘤是常见女性生殖器官良性肿瘤，患者主要表现为下腹坠胀、腹部包块、压迫及子宫出血。子宫肌瘤发病率极高，特别是中年女性，发病率达75%左右，严重影响女性的生活质量及生殖健康[1]。子宫肌瘤主要采取积极手术方案切除治疗，以往主要实施开腹切除术，创伤大，术后并发症较多，导致术后恢复较慢，