腹腔鏡下子宮肌瘤剔除術的臨床價值及優越性研究

楊彩霞　陳秀華　聶義　于凌翔　劉念　劉晶

【摘要】 目的 觀察腹腔鏡下子宮肌瘤剔除術對子宮肌瘤治療的臨床價值及優越性。方法 100例

子宮肌瘤患者為研究對象， 按手術方式不同分為對照組及觀察組， 各50例。對照組給予開腹手術治療， 觀察組給予腹腔鏡下子宮肌瘤剔除術治療。比較兩組患者術中及術后相關指標， 包括手術出血量、手術時間、術后住院時間、術后排氣時間、切口甲級愈合情況;比較兩組患者術后并發癥發生情況。結果 觀察組手術出血量為（89.2±7.1）ml;少于對照組的（123.1±9.2）ml;觀察組手術時間為（78.1±9.8）min、術后住院時間為（6.0±0.5）d、術后排氣時間為（20.1±4.2）h， 均短于對照組的（113.3±10.5）min、（7.7±0.8）d、（39.7±3.4）h， 差異均具有統計學意義 （P<0.05）。兩組切口甲級愈合率比較， 差異無統計學意義（P>0.05）。觀察組術后并發癥發生率為4.0%， 低于對照組的16.0%， 差異具有統計學意義 （P<0.05）。結論 對于子宮肌瘤患者， 腹腔鏡下子宮肌瘤剔除術臨床效果顯著， 同時術后并發癥少， 作為一種微創手術， 值得臨床推廣。

【關鍵詞】 子宮肌瘤;腹腔鏡下子宮肌瘤剔除術;開腹手術;并發癥

DOI：10.14163/j.cnki.11-5547/r.2019.18.004

Clinical value and superiority of laparoscopic myomectomy? ?YANG Cai-xia， CHEN Xiu-hua， NIE Yi， et al. Department of Obstetrics and Gynecology， Qitai Hospital of the Sixth Division of Xinjiang Corps， Qitai 831800， China

【Abstract】 Objective? ?To observe the clinical value and superiority of laparoscopic myomectomy. Methods? ?A total of 100 uterine fibroids patients were divided by different surgical methods into control group and observation group， with 50 cases in each group. The control group received open surgery， and the observation group received laparoscopic myomectomy. Comparison were made on intraoperative and postoperative related indicators， including bleeding volume， operation time， postoperative hospitalization time， postoperative exhaust time， invasive grade A healing， and occurrence of postoperative complications between the two groups. Results? ?The observation group had less surgical bleeding volume as （89.2±7.1） ml than （123.1±9.2） ml in the control group， shorter operation time as （78.1±9.8） min， postoperative hospitalization time as（6.0±0.5） d， postoperative exhaust time as （20.1±4.2） h than （113.3±10.5） min， （7.7±0.8） d and （39.7±3.4） h in the control group. Their difference was statistically significant （P<0.05）. Both groups had no statistically significant difference in invasive grade A healing rate （P>0.05）. The observation group had lower incidence of postoperative complications as 4.0% than 16.0% in the control group， and the difference was statistically significant （P<0.05）. Conclusion? ?Laparoscopic myomectomy shows remarkable clinical effect for patients with uterine fibroids . It provides fewer postoperative complications and is worthy of clinical promotion as a invasive surgery.

【Key words】 Uterine fibroids; Laparoscopic myomectomy; Open surgery; Complications