摘要
目的探讨子宫肌瘤剔除术治疗子宫肌瘤的临床效果。方法选取2017年7月~2018年7月我院手术治疗的100例子宫肌瘤患者作为研究对象,利用随机数字表法将其分为观察组和对照组,每组各50例。观察组实施子宫肌瘤剔除术治疗,对照组实施子宫全切术治疗。比较两组的手术指标、手术前后不同时间段的性激素水平、并发症发生情况及临床治疗效果。结果观察组的手术持续时间、术后首次排气时间、住院时间均短于对照组,差异有统计学意义(P<0.05);观察组的术中出血量少于对照组,差异有统计学意义(P<0.05)。术后8周,观察组的雌二醇指标水平高于对照组,差异有统计学意义(P<0.05)。观察组的卵泡刺激素、黄体生成素指标水平低于对照组,差异有统计学意义(P<0.05)。随访1年后,观察组的并发症发生率低于对照组,差异有统计学意义(P<0.05)。观察组的治疗总有效率高于对照组,差异有统计学意义(P<0.05)。结论子宫肌瘤患者实施子宫肌瘤剔除术可保留子宫,较好地维持卵巢功能,降低并发症发生率,但可能存在肌瘤剔除不完全,影响治疗效果。
Objective To investigate the clinical effect of uterine fibroids removal on uterine fibroids.Methods A total of 100 patients with uterine fibroids who underwent surgical treatment in our hospital from July 2017 to July 2018 were selected as the objects,they were divided into observation group and control group by random number table method,50 cases in each group.The observation group was treated with uterine fibroids removal,and the control group was treated with hysterectomy.The surgical indexes of the two groups,sex hormone levels at different time points before and after surgery,complications and clinical treatment effect were compared.Results The duration of operation,the first exhaust time and the length of hospital stay in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The intraoperative blood loss of the observation group was less than that of the control group,and the difference was statistically significant(P<0.05).At 8 weeks after operation,the level of estradiol in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).The levels of follicle stimulating hormone and luteinizing hormone in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After 1 year of follow-up,the incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Uterine fibroids patients with uterine fibroids removal can preserve the uterus,better maintain ovarian function,reduce the incidence of complications,but there may be incomplete removal of myoma,affecting the treatment effect.
作者
马婷婷
MA Ting-ting(Department of Obstetrics and Gynecology,the First Affiliated Hospital of Fujian Medical University,Fujian Province,Fuzhou 350005,China)
出处
《中国当代医药》
2019年第32期113-115,119,共4页
China Modern Medicine
关键词
子宫肌瘤剔除术
子宫肌瘤
并发症
Uterine fibroids removal
Uterine fibroids
Complications
