摘要
目的分析腹腔镜手术与宫腔镜手术治疗较大Ⅱ型黏膜下肌瘤的临床效果。方法选取2017年2月~2018年1月我院接诊的36例5~6 cmⅡ型黏膜下肌瘤患者作为研究对象,按照治疗方法的不同将其分为对照组和研究组,每组各18例。对照组患者给予宫腔镜下子宫肌瘤剔除术治疗,而研究组患者则给予腹腔镜下子宫肌瘤剔除术治疗。分析比较两组患者的手术相关指标(手术时间、术中出血量、住院时间、术后抗生素使用时间)、并发症发生率及一次性手术成功率。结果研究组患者的手术时间、住院时间、术后抗生素使用时间均长于对照组,出血量多于对照组,差异有统计学意义(P<0.05)。研究组患者的并发症总发生率(5.56%)低于对照组(33.33%),差异有统计学意义(P<0.05)。研究组患者的一次性手术成功率为100.00%,高于对照组患者的77.78%,差异有统计学意义(χ2=4.500,P=0.034)。结论腹腔镜手术有助于提高较大Ⅱ型黏膜下肌瘤患者的一次性手术成功率,以及降低并发症,但宫腔镜手术则可有效节省手术时间,减少术中出血量,减短住院时间。因而,在实际工作中,应当根据患者病情、意愿等,决定治疗方案。
Objective To analyze the clinical effect of laparoscopic surgery and hysteroscopic surgery in the treatment of large type III submucosal fibroids. Methods A total of 36 patients with 5-6 cm type II submucosal fibroids who were admitted to our hospital fi＇om February 2017 to January 1818 were selected as subjects. According to the different treatment methods, they were divided into the control group and the study group, with 18 cases in each group. The con- trol group was given hysteroscopic myomectomy, while the study group was given laparoscopic myomectomy. The surgi- cal related indicators （operation time, intraoperative blood loss, hospitalization time, time of postoperative antibiotic use）, complication rate and one-time surgical success rate were analyzed and compared between two groups. Results The op- eration time, hospitalization time and postoperative antibiotic use time in the study group were longer than those in the control group, the amount of intraoperative blood loss was more than that in the control group, and the differences were statistically significant （P〈0.05）. The total incidence rate of complications in the study group （5.56%） was lower than that in the control group （33.33%）, and the difference was statistically significant （P〈0.05）. The one-time surgical success rate in the study group （100.00%） was higher than that in the control group （77.78%）, and the difference was statistically significant （P〈0.05）. Conclusion Laparoscopic surgery can help improve the one-time surgical success rate and reduce complications in the patients with large type II submucosal fibroids. However, hysteroscopic surgery can effectively save the operation time, reduce the amount of intraoperative blood loss, and shorten the length of hospital stay. There- fore, in practical work, the treatment plan can be decided according to the patients＇ condition and willingness.
作者
钟柏林
朱艳平
杨杏玲
黄贵莲
ZHONG Bo-lin;ZHU Yah-ping;YANG Xing-ling;HUANG Gui-lian(Department of Gynecology,Ruijin Maternal and Child Health Hospital,Jiangxi Province,Ruijin 342500,China)
出处
《中国当代医药》
2018年第28期116-118,125,共4页
China Modern Medicine
基金
江西省卫生计生委科技计划项目(20184072)
