腹腔镜下子宫肌瘤剔除术的临床价值及优越性研究

杨彩霞　陈秀华　聂义　于凌翔　刘念　刘晶

【摘要】 目的 觀察腹腔镜下子宫肌瘤剔除术对子宫肌瘤治疗的临床价值及优越性。方法 100例

子宫肌瘤患者为研究对象， 按手术方式不同分为对照组及观察组， 各50例。对照组给予开腹手术治疗， 观察组给予腹腔镜下子宫肌瘤剔除术治疗。比较两组患者术中及术后相关指标， 包括手术出血量、手术时间、术后住院时间、术后排气时间、切口甲级愈合情况;比较两组患者术后并发症发生情况。结果 观察组手术出血量为（89.2±7.1）ml;少于对照组的（123.1±9.2）ml;观察组手术时间为（78.1±9.8）min、术后住院时间为（6.0±0.5）d、术后排气时间为（20.1±4.2）h， 均短于对照组的（113.3±10.5）min、（7.7±0.8）d、（39.7±3.4）h， 差异均具有统计学意义 （P<0.05）。两组切口甲级愈合率比较， 差异无统计学意义（P>0.05）。观察组术后并发症发生率为4.0%， 低于对照组的16.0%， 差异具有统计学意义 （P<0.05）。结论 对于子宫肌瘤患者， 腹腔镜下子宫肌瘤剔除术临床效果显著， 同时术后并发症少， 作为一种微创手术， 值得临床推广。

【关键词】 子宫肌瘤;腹腔镜下子宫肌瘤剔除术;开腹手术;并发症

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