腹腔镜超声在子宫肌壁间肌瘤剔除术中应用价值.docVIP

腹腔镜超声在子宫肌壁间肌瘤剔除术中应用价值 　　[摘要]目的 探?腹腔镜超声在子宫肌壁间肌瘤剔除术中的应用效果。方法 选取2015年12月～2016年10月我院收治的80例子宫肌壁间肌瘤的患者作为研究对象，根据治疗方法的不同分为治疗组和对照组，各40例。治疗组采用腹腔镜超声治疗，对照组采用传统开腹手术治疗。比较两组患者的术中出血量、手术时间、术后住院时间等各项指标，并进行3～12个月的随访，比较两组的复发率。结果 治疗组的术中出血量、住院费用显著少于对照组，手术时间、住院时间等指标明显短于对照组，差异有统计学意义（P0.05）。术后随访12个月，治疗组的复发率为2.5%，低于对照组的10.0%，差异有统计学意义（P0.05）。结论 针对子宫肌壁间肌瘤患者，使用腹腔镜超声治疗的效果非常明显，不仅能准确定位、直观指导，而且还能够挖掘探究出盲点病灶，术后子宫肌层愈合情况更好，值得在临床中推广应用。 　　[关键词]腹腔镜超声；腹腔镜；子宫肌壁间肌瘤剔除术；妇科手术 　　[中图分类号] R737.33 [文献标识码] A [文章编号] 1674-4721（2018）2（a）-0112-04 　　[Abstract]Objectives To investigate the application effect of laparoscopic ultrasonography in the myomectomy of intramural myoma of the uterus.Methods From December 2015 to October 2016，80 patients with intramural myoma of the uterus in our hospital were selected as the research objects.According to the different treatment methods，they were divided into the treatment group and the control group，40 cases in each group.The treatment group was treated with laparoscopic ultrasound，and the control groupwas given traditional laparotomy.The amount of intraoperative blood loss，operation time，postoperative hospital stay were compared between the two groups，and the follow-up rate was 3-12 months，the recurrence rate of the two groups was compared.Results The amount of intraoperative blood loss and the cost of hospitalization in the treatment group were significantly less than those in the control group，and the operation time and the time of hospitalization in the treatment group were significantly shorter than those in the control group，with significant difference （P0.05）.After 12 months of follow-up，the recurrence rate of the treatment group was 2.5%，which was lower than 10.0% in the control group，with significant difference （P 　　[Key words]Laparoscopic ultrasonography；Laparoscope；Myomectomy of intramural myoma of the uterus；Gynecological surgery 　　子宫肌瘤是人体中常见的病症之一，主要发病部位为女性生殖器官，是一种良性肿瘤[1-3]。子宫肌瘤主要由子宫平滑肌细胞增生结合少量纤维结缔组织形成[5]。目前，临床上一般使用开腹手术的方法对患者进行治疗。随着医学的进步，临床上开始采用腹腔镜超声治疗子宫肌壁间肌瘤，其优