应用腹腔镜子宫肌瘤剔除术治疗子宫肌瘤的安全性

高盈 朱彦红

摘  要：目的  探讨腹腔镜子宫肌瘤剔除术治疗子宫肌瘤的安全性。方法  笔者按照随机原则选择2019年1月～2020年1月期间在山东省平原县第一人民医院确诊治疗的100例子宫肌瘤患者为研究对象，按随机数字表法分为对照组（50例，开腹子宫肌瘤剔除术治疗）和实验组（50例，腹腔镜子宫肌瘤剔除术治疗），对比两组患者临床治疗效果。结果  实验组患者手术时间、首次肛门排气时间以及住院时间等均短于对照组，术中出血量明显少于对照组（P<0.05）。同时，实验组不良反应发生率明显低于对照组，两组差异明显（P<0.05）。实验组患者术后子宫体积和肌瘤体积均明显小于对照组，血红蛋白水平明显高于对照组（P<0.05）。结论  子宫肌瘤观察对象利用腹腔镜子宫肌瘤剔除术方案实施临床治疗，具有更加显著的治疗有效性与安全性，并能够促进患者的快速回复，具有较高的应用价值。

关键词：腹腔镜;子宫肌瘤剔除术;子宫肌瘤;安全性

中图分类号：R737.33    文献标识码：A    文章编号：1009-8011（2021）-4-0005-03

Abstract： Objective  to investigate the safety of laparoscopic myomectomy in the treatment of uterine leiomyoma. Methods  According to the random principle， 100 cases of patients with uterine fibroids diagnosed and treated in our hospital from January 2019 to January 2020 were selected as the research objects. According to the random number table method， they were divided into the control group（50 cases， openmyomectomy treatment） and the experimental group（50 cases， laparoscopic myomectomy treatment）. The clinical therapeutic effects of the two groups were compared. Results  The operation time， first anal exhaust time and hospitalization time of the experimental group were shorter than those of the control group， and the intraoperative blood loss was significantly less than that of the control group（P <0.05）. At thesame time， the incidence of adverse reactions in the experimental group was significantly lower than control group（P<0.05）. The uterine volumeand leiomyoma volume of the experimental group were significantly smaller than those of the control group， and the hemoglobin level was significantly higher than that of the control group（P<0.05）. Conclusion  The observation object of uterine leiomyoma using laparoscopic myomectomy scheme to implement clinical treatment， has more significant treatment effectiveness and safety， and can promote the rapid recovery of patients， with high promotion and application value.

Keywords： Laparoscopy;myomectomy;hysteromyoma;safety

子宫肌瘤是一种妇科临床常见的生殖系统良性肿瘤疾病，也是一种发生率较高的妇科疾病类型，中年女性的子宫肌瘤发病率相对较高，其患病后常会出现腹腹部明显疼痛、腹部程度不同的包块、不孕症、流产、月经量增加等临床症状，因而会对患者正常的生活和身心健康造成严重不良影响，严重者还会诱发不孕不育等恶性后果[1]。子宫肌瘤患者最常接受手术方法治疗，有助于患者临床症状的控制，降低肌瘤恶变风险，也有利于患者预后改善。当前，临床认可的手术方案谁开腹手术和腹腔镜手术两种，随着临床医疗技术水平的发展完善，腹腔镜子宫肌瘤剔除术逐渐成为了首选的微创治療技术，这一治疗方法能够最大限度保留患者的子宫体，术后恢复速度快、效果好，因而整体治疗效果较好。

1  资料与方法

1.1  一……