摘要
目的探讨宫腔镜结合腹腔镜在多发性子宫肌瘤手术治疗的临床效果。方法研究对象选取我院在2015年6月~2017年6月期间接收治疗58例多发性子宫肌瘤患者,随机分组研究,参照组采用腹腔镜下子宫肌瘤电切术,观察组采用宫腔镜下子宫肌瘤剔除术,观察两组患者在手术期间的各项临床指标,出院随访期的情况。结果观察组患者的手术时间、术中出血量以及血红蛋白减小值显著优于参照组,差异有统计学意义(P<0.05);观察组患者的术中异体输血率、术中转开腹率较参照组患者,差异无统计学意义(P>0.05);经过不同手术的治疗,术后妊娠率、复发情况及月经恢复率,差异有统计学意义(P<0.05)。结论宫腔镜联合腹腔镜在子宫肌瘤手术治疗多临床效果,促进患者早日康复,临床应用价值较高。
Objective To explore the clinical effect of hysteroscopy combined with laparoscopy in the treatment of multiple uterine fbroids. Methods The study subjects were selected to receive treatment of 58 patients with multiple uterine fbroids from June 2015 to June 2017, randomized group study,laparoscopic hysteromyoma was used in the reference group,hysteromyoma removal was performed in the observation group,the clinical indicators of the two groups were observed during the operation and the discharge follow-up period was observed. Results The operation time, intraoperative blood loss and hemoglobin decrease were significantly better in the observation group (P〈0.05); There was no signifcant difference in intraoperative transfusions and intraoperative transfusions of patients in the observation group(P〉005);after different operation, the postoperative pregnancy rate, recurrence and menstrual recovery rate were significantly different (P〈0.05). Conclusion Hysteroscopy combined with laparoscopy in multiple clinical effect of surgical treatment of uterine fbroids, promote patients recover at an early date, high clinical application value.
作者
黄家会
HUANG Jia-hui(Yibin city hospital, Yibin Sichuan,644000,Chin)
出处
《实用妇科内分泌电子杂志》
2017年第30期19-20,共2页
Electronic Journal of Practical Gynecological Endocrinology
关键词
宫腔镜
腹腔镜
多发性子宫肌瘤
手术
Hysteroscopy
Laparoscope
Multiple uterine fbroids
Surgery