腹腔镜下子宫肌瘤剥除术临床疗效分析及对患者生活质量影响.docVIP

腹腔镜下子宫肌瘤剥除术临床疗效分析及对患者生活质量影响 　　摘要：目的：旨在探讨腹腔镜下行子宫肌瘤剥除术的临床疗效以及对患者生活质量的影响。方法：随机将2011年6月-2014年6月期间我院收诊的120例子宫肌瘤患者分为传统开腹组（n=60）与腹腔镜组（n=60），观察两组患者行子宫肌瘤剥除术的手术时间、术中出血量、术后排气时间、住院时间以及生活质量变化。结果：腹腔镜组患者手术时间、术中出血量、术后排气时间及住院时间均显著优于传统开腹组，差异极显著（Plt;0.01）;术后6个月腹腔镜组患者生理领域、心理领域以及主观感受等评分显著高于传统开腹组（Plt;0.05）。结论：腹腔镜下行子宫肌瘤剥除术可显著缩短手术时间、术后排气时间及住院时间，显著降低术中出血量，并明显提升患者生活质量。 　　关键词：腹腔镜;子宫肌瘤剥除术;临床疗效;生活质量 　　The analysis of the clinical curative effect of uterine fibroids divest technique under laparoscopic and the impact on the quality of life of patients 　　Abstract： Objective： To discuss the clinical curative effect of uterine fibroids divest technique under laparoscopic and the impact on the quality of life of patients. Methods： From 2011.6 to 2014.6， 120 patients with uterine fibroids divided into traditional laparotomy group （n=60） and laparoscopic group （n=60）. The operation time， intraoperative blood loss， postoperative exhaust time， time in hospital and the change of quality of life between these two groups were analyzed. Results： The operation time， intraoperative blood loss， postoperative exhaust time， and the time in hospital of patients in the laparoscopic group were significantly better than those of the conventional laparotomy group （P lt; 0.01）. Six months after laparoscopic group of patients’ physiological field， psychological field and subjective scores of patients in laparoscopic group were significantly higher than those of conventional laparotomy group （P lt; 0.05）. Conclusion： The uterine fibroids divest technique under laparoscopic can significantly shorten the operation time， postoperative exhaust time and time in hospital， significantly reduce intraoperative blood loss， and significantly improve the quality of life of patients. 　　子宫肌瘤系30-50岁妇女生殖系统多发的一种良性肿瘤，发病率为20%-25%，主要由雌激素分泌异常而引起，临床上表现为贫血、经期不正常、腹部隆包、子宫异常出血等，严重者会导致不孕或流产[1-3]。对于该病的治疗主要采取手术方法。传统开腹子宫肌瘤剥除术因切口长、创伤大及影响术后生活质量等因素，腹腔镜下子宫肌瘤剥除术为更多患者所接受。本文通过分组对比研究，旨在探讨腹腔镜下行子宫肌瘤剥除术的临床疗效以及对患者生活质量的影响，具体内容如下。 　　1 患者资料与手术方法 　　1.1 患者资料