摘要
目的比较腹腔镜子宫肌瘤剔除术与传统开腹子宫肌瘤剔除术治疗巨大子宫肌瘤的临床效果。方法选择2016年1月至2018年6月新乡医学院第一附属医院收治的78例巨大子宫肌瘤患者为研究对象,按照手术方式将患者分为腹腔镜手术组和开腹手术组,每组39例。腹腔镜手术组患者行腹腔镜子宫肌瘤剔除术,开腹手术组患者行传统开腹子宫肌瘤剔除术。比较2组患者手术时间、术中出血量、术后首次排气时间及术后住院时间;出院前评估2组患者临床疗效;所有患者术后随访1 a,观察月经转归、子宫形态、子宫肌瘤复发及并发症发生情况。结果腹腔镜手术组患者手术时间、术后首次排气时间及术后住院时间短于开腹手术组,术中出血量少于开腹手术组(P<0.05)。腹腔镜手术组和开腹手术组患者术后并发症发生率分别为7.69%(3/39)、25.64%(10/39),腹腔镜手术组患者术后并发症发生率低于开腹手术组(χ2=4.523,P<0.05)。术后1 a,腹腔镜手术组患者月经转归率、子宫形态恢复正常率、子宫肌瘤复发率分别为84.62%(33/39)、94.87%(37/39)、5.13%(2/39);开腹手术组患者月经转归率、子宫形态恢复正常率、子宫肌瘤复发率分别为61.54%(24/39)、76.92%(30/39)、7.69%(3/39);腹腔镜手术组患者月经转归率、子宫形态恢复正常率高于开腹手术组(χ2=5.278、5.186,P<0.05);2组患者子宫肌瘤复发率比较差异无统计学意义(χ2=0.244,P<0.05)。结论与传统开腹手术比较,腹腔镜子宫肌瘤剔除术具有创伤小、患者术后恢复快、并发症少等优势。
Objective To compare the clinical effect of laparoscopic myomectomy and traditional open myomectomy in the treatment of giant hysteromyoma.Methods A total of 78 patients with giant hysteromyoma admitted to the First Affiliated Hospital of Xinxiang Medical University from January 2016 to June 2018 were selected as the study objects,and the patients were divided into laparoscopic operation group and open operation group according to the operation mode,with 39 cases in each group.The patients in the laparoscopic operation group underwent laparoscopic myomectomy,the patients in the open operation group underwent traditional open myomectomy.The operation time,intraoperative bleeding volume,the first postoperative exhaust time and postoperative hospitalization time were compared between the two groups.The clinical effect of patients in the two groups was evaluated before discharge.All the patients were followed up for one year to observe the menstrual recovery,uterine morphology,hysteromyoma recurrence and complications.Results The operation time,the first postoperative exhaust time and the postoperative hospitalization time of patients in the laparoscopic operation group were shorter than those in the open operation group,and the intraoperative bleeding volume of patients in the laparoscopic operation group was less than that in the open operation group(P<0.05).The incidence of postoperative complications in the laparoscopic operation group and the open operation group was 7.69%(3/39)and 25.64%(10/39),respectively.The incidence of postoperative complications in the laparoscopic operation group was lower than that in the open operation group(χ2=4.523,P<0.05).One year after operation,the recovery rate of menstruation,uterine morphology and the recurrence rate of hysteromyoma in the laparoscopic operation group were 84.62%(33/39),94.87%(37/39)and 5.13%(2/39);and they were 61.54%(24/39),76.92%(30/39)and 7.69%(3/39)in the open operation group.The recovery rates of menstruation and uterine morphology in the laparoscopic operation group were higher than those in the open operation group(χ2=5.278,5.186;P<0.05).There was no significant difference in the recurrence rate of hysteromyoma between the two groups(χ2=0.244,P>0.05).Conclusion Compared with the traditional open myomectomy,laparoscopic myomectomy has the advantages of less trauma,faster postoperative recovery and fewer complications.
作者
关新垒
华彩红
王世进
秦海霞
王圆圆
刘春阁
GUAN Xinlei;HUA Caihong;WANG Shijin;QIN Haixia;WANG Yuanyuan;LIU Chunge(Department of Gynecology,the First Affiliated Hospital of Xinxiang Medical University,Weihui 453100,Henan Province,China)
出处
《新乡医学院学报》
CAS
2020年第3期243-245,250,共4页
Journal of Xinxiang Medical University
