腹腔镜子宫肌瘤剔除术对子宫肌瘤患者术后生活质量及并发症影响.docVIP

腹腔镜子宫肌瘤剔除术对子宫肌瘤患者术后生活质量及并发症影响 　　[摘要] 目的 探讨腹腔镜子宫肌瘤剔除术（LM）对子宫肌瘤患者术后生活质量以及术后并发症的影响。 方法 选择我院子宫肌瘤患者100例，按使用术式的不同分为对照组（48例，开腹子宫肌瘤剔除术）和观察组（52例，LM）；记录并比较两组患者术中及术后基本情况，通过生活质量评定简表（SF-36）评估两组患者手术前后生活质量，观察并比较两组患者手术后并发症发生情况。 结果 对照组患者术中出血量多于观察组，手术耗时、术后肛门首次排气时间与术后住院时间均长于观察组；术后3个月，观察组SF-36评分明显高于对照组；观察组并发症发生率（11.54%）明显低于对照组（35.41%）；差异均有统计学意义（P0.05）。 结论 LM能明显缩短患者手术时间，减少患者术中出血，促进患者术后恢复，还能提高患者术后生活质量，且并发症少，在子宫肌瘤患者中推广价值高。 　　[关键词] 腹腔镜子宫肌瘤剔除术；生活质量；子宫肌瘤；并发症；妇科 　　[中图分类号] R737.33 [文献标识码] A [文章编号] 2095-0616（2017）20-89-03 　　Effect of laparoscopic myomectomy on the postoperative quality of life and complications in patients with uterine fibroids 　　LI Hao 　　Department of Obstetrics and Gynecology， the Peoples Hospital of Hanchuan City， Hanchuan 431600， China 　　[Abstract] Objective To investigate the effect of laparoscopic myomectomy （LM） on the postoperative quality of life and postoperative complications in patients with uterine fibroids. Methods 100 cases of uterine fibroids in our hospital were selected and divided into control group （48 cases， laparotomy myomectomy） and observation group （52 cases， LM） according to the different methods of operation. The intraoperative and postoperative basic conditions of the patients in two groups were recorded and compared. The quality of life of the two groups before and after the operation were evaluated by the short form 36 questionnaire assessment （SF-36）. The postoperative complications of the two groups were observed and compared. Results The intraoperative bleeding volume of the control group was loss more than that of observation group， the operation time， postoperative anal exhaust time and postoperative hospitalization time of the control group were longer than those of observation group. 3 months after surgery， the SF-36 score of observation group was significantly higher than that of control group. The complication rate of observation group （11.54%） was significantly lower than that of control group （35.41%）. The differences were statis