比较分析腹腔镜全子宫切除术、开腹全子宫切除术对子宫肌瘤患者治疗价值

谢圆

【摘  要】目的：分析子宫肌瘤患者应用腹腔镜全子宫切除术、开腹全子宫切除术的治疗价值。方法：对照组行传统开腹全子宫切除术，观察组为腹腔镜下全子宫切除术治疗。结果：2组的术中用时比较中P>0.05;观察组的术中失血量、术后排气时间、离床活动时间、住院天数均少于对照组，且P<0.05;观察组术后并发症率4.41%，对照组11.76%，P<0.05，观察组术后性生活质量评分均高于对照组，且P>0.05。结论：子宫肌瘤患者应用腹腔镜全子宫切除术的治疗价值高于开腹全子宫切除术，前者更有利于减少手术创伤并降低术后并发症率，且有利于改善术后性生活质量。

【关键词】子宫肌瘤;腹腔镜全子宫切除术;开腹全子宫切除术;价值

【中图分类号】R713      【文献标识码】A      【文章编号】1672-3783（2020）06-0049-01

【Abstract】Objective：To analyze the value of laparoscopic total hysterectomy and open total hysterectomy in the treatment of hysteromyoma. Methods： the control group received traditional open hysterectomy， and the observation group received laparoscopic hysterectomy. Results： the intraoperative time comparison between the two groups was p > 0.05; the intraoperative blood loss， postoperative exhaust time， ambulation time and hospitalization days in the observation group were less than those in the control group， and P < 0.05; the postoperative complication rate in the observation group was 4.41%， while that in the control group was 11.76%， P < 0.05; the score of sexual life quality in the observation group was higher than that in the control group， and P > 0.05. Conclusion： the value of laparoscopic total hysterectomy in the treatment of hysteromyoma is higher than that of open total hysterectomy， the former is more conducive to reduce the surgical trauma and postoperative complications， and to improve the quality of sexual life.

【Key words】hysteromyoma; laparoscopic total hysterectomy; open total hysterectomy; value

子宫肌瘤是一种比较常见的妇科良性肿瘤疾病，也被称作子宫纤维瘤或者纤维肌瘤，要是由于女性的子宫平滑肌细胞发生异常增生后所形成。目前对于子宫肌瘤的病因还尚未完全明确，认为可能与干细胞、遗传以及激素等原因有关，好发于30～50岁之间的女性群体中。虽然子宫肌瘤属于良性肿瘤，然而若未能给予早期规范化的治疗，容易诱发相关并发症，甚至可能造成女性患者不孕不育，对于患者身心健康具有严重影响。现阶段对于子宫肌瘤患者主要采用外科手术治疗，目前的手术方式较多，开腹全子宫切除术是对此类患者治疗的比较常用方式，然而该手术方案属于有创的侵入性手术操作，在对患者病灶切除的同时也对患者的身体机能和心理健康产生一定影响[1]。近年来腹腔镜技术广泛应用，腹腔镜手术是临床各类疾病治疗中比较常用的微创手术。以下……