摘要
目的:探讨子宫黏膜下大肌瘤采取宫腔镜与腹腔镜治疗的效果。方法:按照随机取样原则选取我院2013年4月至2015年4月接诊的子宫黏膜下大肌瘤患者80例进行研究,按照就诊序号奇偶分为两组,每组各40例,奇数为腹腔镜组,偶数为宫腔镜组,分别采取腹腔镜切除术、宫腔镜切除术治疗。两组患者均随访1年以上,比较疗效。结果:宫腔镜组手术时间、术中出血量、术后月经改善率、随访1年妊娠率与腹腔镜组比较无明显差异(P>0.05),但宫腔镜组术后肛门排气时间、住院时间、术后肌层愈合情况均明显优于腹腔镜组(P<0.05)。结论:子宫黏膜下大肌瘤患者采取宫腔镜、腹腔镜切除术治疗均有一定效果,但宫腔镜治疗疗效、安全性及恢复效果更好,值得借鉴。
Objective： To investigate the effect of hysteroscopy and laparoscopy in the treatment of large submuCo- sal myoma of uterus. Methods： 80 cases of patients with large submucosal myoma of uterus in our hospital from April 2013 to April 2015 were randomly selected and randomized into 2 groups with 40＇ cases in each group in terms of the odd and even number of registration. Patients with odd registration number were included in the lapa- roscopic group, while patients with even registration number odd group as hysteroscopy group. They underwent laparoscopic surgery and hysteroscopic resection respectively. All patients had been followed up for more than one year, and the efficacy of both groups were compared. Results： There were no significant differences between both groups concerning the operation time, intraoperatve and postoperative blood loss, postoperative improve- ment of menstruation, pregnancy rate within 1-year follow-up （P〉0.05）, but the anal exhaust time, hospital stay, postoperative muscle healing of the hysteroscopy group were significantly better than those of the laparoscopic group （P 〈0.05）. Conclusion： Hysteroscopy, and laparoscopic resection have a certain effect on large submucosal myoma of uterus, but hysteroscopic is more effective, safer, and has better recovery effect, which is worth learning.
出处
《华夏医学》
CAS
2016年第4期25-27,共3页
Acta Medicinae Sinica
关键词
子宫黏膜下大肌瘤
宫腔镜
腹腔镜
疗效
large submucosal myoma of uterus
hys.teroscopy
laparoscopy
efficacy
