腹腔镜下改良子宫肌瘤剔除术与开腹子宫肌瘤剔除术的对比分析

唐娟

[摘要] 目的 探讨腹腔镜下改良子宫肌瘤剔除术与开腹子宫肌瘤剔除术的临床效果。 方法 将本院2011年3月～2013年8月收治的110例子宫肌瘤剔除术患者分为对照组和观察组，每组55例，对照组给予传统开腹子宫肌瘤剔除术治疗，观察组给予腹腔镜下改良子宫肌瘤剔除术治疗，比较两组患者的临床效果和并发症发生情况。 结果 观察组患者的术中出血量少于对照组，手术时间、术后排气时间、住院时间均短于对照组，差异有统计学意义（P＜0.05）。观察组患者的总并发症发生率为3.6%，明显低于对照组的27.3%，差异有统计学意义（P＜0.05）。 结论 腹腔镜下改良子宫肌瘤剔除术治疗子宫肌瘤的临床效果优于开腹子宫肌瘤剔除术。

[关键词] 腹腔镜；子宫肌瘤；临床疗效

[中图分类号] R737.33[文献标识码] B[文章编号] 1674-4721（2014）03（c）-0188-02

Comparison and analysis of improved laparoscopic myomectomy and abdominal myomectomy

TANG Juan

Department of Obstetrics and Gynecology,People′s Hospital of Wangcheng Distirct in Changsha City,Changsha 410200,China

[Abstract] Objective To explore the clinical effect of improved laparoscopic myomectomy and abdominal myomectomy.Methods 110 cases of patients with uterine fibroids eliminate were treated in our hospital from March 2011 to August 2013,they were divided into control group and observation group,55 cases in each group.The control group was given with conventional abdominal myomectomy treatment,the observation group was given with improved laparoscopic myomectomy treatment,the clinical effect and complications of two groups was compared.Results The intraoperative blood loss of the observation group was less than that of the control group,the operation time,postoperative anal exhaust time,hospital time in observation group was shorter than that of the control group,the difference was significant (P<0.05).The total complication rate in observation group was 3.6%,was significantly lower than 27.3% of the control group,the difference was significant (P<0.05).Conclusion The clinical effect of improved laparoscopic myomectomy treatment of uterine fibroids is superior to abdominal myomectomy.

[Key words] Laparoscope;Uterine fibroids;Clinical curative effect

子宫肌瘤主要是由子宫平滑肌细胞增生而成，其中有少量纤维结缔组织作为一种支持组织而存在[1]，是女性生殖器官中最常见的一种良性肿瘤，也是人体中最常见的肿瘤之一，又称为纤维肌瘤、子宫纤维瘤。目前子宫肌瘤剔除术在临床中应用较为广泛，近年来随着科技的发展，腹腔镜被广泛地应用到子宫肌瘤剔除术的治疗中[2-3]，本研究探讨腹腔镜下改良子宫肌瘤剔除术与开腹子宫肌瘤剔除术的临床效果。

1 资料与方法

1.1 一般资料

选取本院2011年3月～2013年8月收治的110例子宫肌瘤剔除术患者，年龄31～58岁，平均（37.2±4.3）岁；子宫肌瘤平均直径（6.5±2.6） cm；肌瘤个数为3～7个，平均（4.3±2.1）个。根据治疗方法将110例患者分为观察组和对照组，每组55例，两组患者的年龄、肌瘤大小等一般资料差异无统计学意义（P＞0.05），具有临床可比性。……