腹腔镜下子宫肌瘤剔除术与开腹子宫肌瘤剔除术疗效评价.docVIP

腹腔镜下子宫肌瘤剔除术与开腹子宫肌瘤剔除术疗效评价 　　[摘要] 目的 对腹腔镜下子宫肌瘤剔除术与开腹子宫肌瘤剔除术的临床疗效进行评价。 方法 方便选取2013年12月―2015年6月期间到该院进行腹腔镜下子宫肌瘤剔除术与开腹子宫肌瘤剔除术治疗子宫肌瘤的患者56例，其中28例进行腹腔镜下子宫肌瘤剔除术，28例进行开腹子宫肌瘤剔除术，比较两组患者住院时间、排气时间及并发症发生率等。结果 腹腔镜组患者排气时间（1.4±0.7）d、住院时间（5.4±1.6）d与开腹组（2.6±1.1）d，（10.2±2.1）d相比，均比开腹组短，差异有统计学意义（P0.05），腹胀、便秘、切口感染、肠粘连4种并发症发生率差异有统计学意义（P0.05）。结论 从腹腔镜组与开腹组的住院时间、排气时间、并发症发生率比较结果来看，腹腔镜组住院时间和排气时间短、并发症发生率低，应用腹腔镜下子宫肌瘤剔除术治疗子宫肌瘤，比开腹子宫肌瘤剔除术治疗效果好，条件允许情况下推荐临床使用腹腔镜下子宫肌瘤剔除术切除子宫肌瘤。 　　[关键词] 腹腔镜下子宫肌瘤剔除术；开腹子宫肌瘤剔除术；子宫肌瘤；疗效评价 　　[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2016）04（c）-0106-02 　　[Abstract] Objective To evaluate the clinical curative effect of laparoscopic myomectomy and transabdominal myomectomy. Methods 56 cases of fibroid patients receiving laparoscopic myomectomy and transabdominal myomectomy in our hospital from December 2013 to June 2015 were selected， 28 cases were treated with laparoscopic myomectomy， 28 cases were treated with transabdominal myomectomy， the length of stay， exhaust time and incidence rate of complications were compared between the two groups. Results The exhaust time and length of stay in the laparoscopic group were shorter than those in the transabdominal group， and the differences were statistically obvious， P0.05， the differences in the incidence rates of four complications including abdominal distension， astriction， infection of incisional wound and intestinal adhesion were statistically obvious， P0.05. Conclusion Compared with the transabdominal group， the length of stay and exhaust time are short and the incidence rate of complications is low， the effect of the application of laparoscopic myomectomy in treatment of fibroid is better than that of the transabdominal myomectomy， and it is recommended to apply the laparoscopic myomectomy for the resection of fibroids in clinic if conditions permit. 　　[Key words] Laparoscopic myomectomy； Transabdominal myomectomy； Fibroid； Evaluation on curative effect 　　子宫肌瘤是女性生殖器官中最为常见的一种良性肿瘤，又可称为子宫纤维肌瘤、纤维肌瘤，其主要是由子宫平滑肌增生而成。子宫肌瘤发病率高，发病率可达