剥除术与子宫全切术治疗子宫肌瘤的临床比较
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摘要
目的分析子宫肌瘤剥除术与子宫全切术治疗子宫肌瘤的临床比较。方法抽取自2015年1月份至2016年7月份我科室收治的子宫肌瘤患者180例,随机分为实验组与对照组各90例。所有患者均行术前常规检查并抽血化验雌二醇、促卵泡激素及黄体生成素水平。实验组的90例患者麻醉后取膀胱截石位,行腹腔镜下子宫肌瘤剥除术;对照组的90例患者麻醉后取膀胱截石位,采用腹腔镜辅助阴式子宫全切除术,术中观察出血量,术毕缝合切口。分析两组患者的术中出血量、手术时间、住院时间;术前、术后1个月和术后3个月的雌二醇、促卵泡生成素(FSH)及黄体生成素(LH)水平。结果实验组的90例患者的手术时间、术中出血量及住院时间均明显低于对照组,P<0.05,差异具有统计学意义。实验组与对照组在术前雌二醇、促卵泡生成素(FSH)及黄体生成素(LH)水平无明显区别,但在术后1个月和术后3个月,这三项激素水平对照组均明显高于实验组,P <0.05,差异具有统计学意义。结论腹腔镜下子宫肌瘤剥除术治疗子宫肌瘤比腹腔镜辅助阴式子宫全切除术创伤小,对卵巢功能影响小,恢复快,值得临床推广。
Objective To analyze the clinical comparison between uterine fibroids removal and total hysterectomy for uterine fibroids.Methods A total of 180 patients with uterine fibroids admitted to our department from January 2015 to July 2016 were randomly divided into experimental group and control group.All patients underwent routine preoperative examination and blood tests for estradiol,follicle stimulating hormone and luteinizing hormone levels.In the experimental group,90 patients underwent anesthesia for bladder lithotomy and laparoscopic uterine fibroids removal.90 patients in the control group underwent anesthesia for bladder lithotomy,and laparoscopic assisted vaginal hysterectomy.The amount of bleeding was observed during the operation,and the incision was sutured.The intraoperative blood loss,operation time,and hospitalization time of the two groups were analyzed.Estradiol,follicle stimulating hormone(FSH) and luteinizing hormone(LH) levels were measured before surgery,1 month after surgery and 3 months after surgery.Results The operation time,intraoperative blood loss and hospitalization time of the 90 patients in the experimental group were significantly lower than those in the control group(P< 0.05).The difference was statistically significant.There was no significant difference in the levels of estradiol,follicle stimulating hormone(FSH) and luteinizing hormone(LH) between the experimental group and the control group,but at the 1 month postoperatively and 3 months after surgery,these three hormone levels.The control group was significantly higher than the experimental group,P< 0.05,the difference was statistically significant.Conclusion Laparoscopic uterine fibroids removal for uterine fibroids is less traumatic than laparoscopic assisted vaginal hysterectomy.It has little effect on ovarian function and recovers quickly.It is worthy of clinical promotion.
Objective To analyze the clinical comparison between uterine fibroids removal and total hysterectomy for uterine fibroids.Methods A total of 180 patients with uterine fibroids admitted to our department from January 2015 to July 2016 were randomly divided into experimental group and control group.All patients underwent routine preoperative examination and blood tests for estradiol,follicle stimulating hormone and luteinizing hormone levels.In the experimental group,90 patients underwent anesthesia for bladder lithotomy and laparoscopic uterine fibroids removal.90 patients in the control group underwent anesthesia for bladder lithotomy,and laparoscopic assisted vaginal hysterectomy.The amount of bleeding was observed during the operation,and the incision was sutured.The intraoperative blood loss,operation time,and hospitalization time of the two groups were analyzed.Estradiol,follicle stimulating hormone(FSH) and luteinizing hormone(LH) levels were measured before surgery,1 month after surgery and 3 months after surgery.Results The operation time,intraoperative blood loss and hospitalization time of the 90 patients in the experimental group were significantly lower than those in the control group(P< 0.05).The difference was statistically significant.There was no significant difference in the levels of estradiol,follicle stimulating hormone(FSH) and luteinizing hormone(LH) between the experimental group and the control group,but at the 1 month postoperatively and 3 months after surgery,these three hormone levels.The control group was significantly higher than the experimental group,P< 0.05,the difference was statistically significant.Conclusion Laparoscopic uterine fibroids removal for uterine fibroids is less traumatic than laparoscopic assisted vaginal hysterectomy.It has little effect on ovarian function and recovers quickly.It is worthy of clinical promotion.
引文
[1]吴祖辉.传统手术与微创手术治疗剥除子宫肌瘤的临床疗效比较[J].临床医学研究与实践,2016,1(12):56-56.
[2]刘青建,刘彩萍.子宫全切术和子宫肌瘤剔除术治疗子宫肌瘤的效果及对卵巢功能的影响比较[J].中国当代医药,2013,20(34):41-42.
[3]江布英.子宫肌瘤剔除术和子宫全切术治疗子宫肌瘤的疗效及对患者卵巢功能影响的比较[J].中国基层医药,2012,19(23):3614-3615.
[4]吴敏.子宫肌瘤剔除术和子宫全切除术治疗子宫肌瘤的疗效及对卵巢功能的影响研究[J].现代诊断与治疗,2014,25(23):5398-5399.
[2]刘青建,刘彩萍.子宫全切术和子宫肌瘤剔除术治疗子宫肌瘤的效果及对卵巢功能的影响比较[J].中国当代医药,2013,20(34):41-42.
[3]江布英.子宫肌瘤剔除术和子宫全切术治疗子宫肌瘤的疗效及对患者卵巢功能影响的比较[J].中国基层医药,2012,19(23):3614-3615.
[4]吴敏.子宫肌瘤剔除术和子宫全切除术治疗子宫肌瘤的疗效及对卵巢功能的影响研究[J].现代诊断与治疗,2014,25(23):5398-5399.