腹腔镜下子宫肌瘤剔除术与开腹子宫肌瘤剔除术对比研究.docVIP

腹腔镜下子宫肌瘤剔除术与开腹子宫肌瘤剔除术对比研究 　　[摘要] 目的 对比腹腔镜下子宫肌瘤剔除术与开腹子宫肌瘤剔除术的治疗效果，为临床应用提供理论指导。方法 方便选取2017年3―5月在该院就诊的子宫肌瘤患者100例，随机分为对照组和实验组各50例。对照组行开腹子宫肌瘤剔除术，实验组行腹腔镜下子宫肌瘤剔除术，通过对术后排气时间、体温恢复正常时间、患者住院时间以及术后并发症情况的对比分析，比较二者的差异性。结果 对照组术后排气时间（17.7±1.2）min，实验组为（13.2±1.0）min，（P=0.027）；对照组体温恢复正常时间为（20.3±1.7）min，实验组（17.7±1.6）min，（P=0.046）；对照组住院时间（10.7±3.5）d，实验组（7.2±2.0）d，（P=0.021）。对照组的不良反应发生率为18%，实验组为6%，（χ2=4.654，P=0.039）。结论 腹腔镜下子宫肌瘤剔除术比开腹子宫肌瘤剔除术更加安全有效。 　　[关键词] 腹腔镜；子宫肌瘤剔除术；有效性；安全性 　　[中图分类号] R737 [文献标识码] A [文章编号] 1674-0742（2017）11（c）-0040-03 　　[Abstract] Objective This paper tries to compare the effect of laparoscopic myomectomy and transmyomectomy and to provide theoretical guidance for clinical application. Methods 100 patients with myoma of uterus from March to May 2017 in this hospital were randomly divided into two groups： the control group and the experimental group， with 50 patients in each group. The control group was treated with transabdominal myomectomy， the experiment group was treated with laparoscopic myomectomy. The exhaust time， the normal time of the body temperature， the time of hospitalization and the postoperative complications were compared of the two groups. Results The exhaust time of the control group was（17.7±1.2）min， the experimental group was （13.2±1.0）min，（P=0.027）； the normal temperature recovery time of the control group and the experimental group were （20.3±1.7）min and （17.7±1.6）min，（P=0.046）； the hospitalization time of the two groups were（10.7±3.5）d and（7.2±2.0）d，（P=0.021）.The adverse reaction rate of the control group was 18%， and the experimental group was 6%，（χ2=4.654， P=0.039）. Conclusion Laparoscopic myomectomy is more safe and effective than open myomectomy. 　　[Key words] Laparoscopy； Myomectomy； Effectiveness； Safety 　　子?m肌瘤是女性常见的良性肿瘤，又称为纤维肌瘤、子宫纤维瘤等[1]。目前，子宫肌瘤的发病机制尚不明确，一般认为其与性激素水平有关，是一种激素依赖性肿瘤，好发于30～50岁之间的女性。据统计30岁以上的女性约有25%左右患子宫肌瘤，但是由于该病可无症状，因此真实发病率将远高于25%。目前对子宫肌瘤的治疗多采用药物治疗和手术治疗[2]。其中手术治疗有腹腔镜下子宫肌瘤剔除术、开腹子宫肌瘤剔除术和子宫切除术，但是子宫切除术仅用于不要求保留生育功能或疑似存在恶变的患者[3]