宫腔镜、腹腔镜治疗子宫黏膜下大肌瘤疗效比较
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摘要
目的研究子宫黏膜下大肌瘤患者采用宫腔镜、腹腔镜手术治疗的临床效果。方法将2015年7月至2017年7月我院收治的84例子宫黏膜下大肌瘤患者作为此次研究对象,按病床单双数分组,其中对照组42例(腹腔镜下手术治疗)、观察组42例(宫腔镜下手术治疗),对比两组患者手术情况以及并发症情况。结果两组患者手术时间、出血量均无明显差异(P> 0.05),观察组肛门排气、出院时间较对照组均更短(P<0.05);观察组并发症发生率为4.76%,对照组发生率为16.66%,观察组并发症患者较对照组更少(P<0.05)。结论子宫黏膜下大肌瘤患者应用宫腔镜下手术治疗受到的损伤更小,出血更少,恢复速度更快,并发症出现情况更少。
Objective To study the clinical effect of hysteroscopy and laparoscopy in patients with submucosal myoma of uterus. Methods 84 patients with submucosal myoma of the uterus admitted to our hospital from July 2015 to July 2017 were studied. The patients were grouped according to the number of single and double beds, including 42 patients in the control group(laparoscopic surgery) and 42 patients in the observation group(hysteroscopic surgery), and the operating conditions and complications of the two groups were compared. Results There was no significant difference in operation time and blood loss between the two groups(P> 0.05), and anal exhaust and discharge time in the observation group were shorter than those in the control group(P< 0.05). The incidence rate of complications in the observation group was 4.76%, and that in the control group was 16.66%. Complications in the observation group were less than those in the control group(P< 0.05). Conclusion The hysteroscope operation for the treatment of large myoma under uterine mucosa has less damage, less bleeding, faster recovery and fewer complications.
Objective To study the clinical effect of hysteroscopy and laparoscopy in patients with submucosal myoma of uterus. Methods 84 patients with submucosal myoma of the uterus admitted to our hospital from July 2015 to July 2017 were studied. The patients were grouped according to the number of single and double beds, including 42 patients in the control group(laparoscopic surgery) and 42 patients in the observation group(hysteroscopic surgery), and the operating conditions and complications of the two groups were compared. Results There was no significant difference in operation time and blood loss between the two groups(P> 0.05), and anal exhaust and discharge time in the observation group were shorter than those in the control group(P< 0.05). The incidence rate of complications in the observation group was 4.76%, and that in the control group was 16.66%. Complications in the observation group were less than those in the control group(P< 0.05). Conclusion The hysteroscope operation for the treatment of large myoma under uterine mucosa has less damage, less bleeding, faster recovery and fewer complications.
引文
[1]周菁,冯力民.宫腔镜在不孕症诊治中的临床应用[J].中国计划生育和妇产科,2015,7(9):1-5+15.
[2]姚秀玲,刘秀云,赵伟,等.腹腔镜与宫腔镜治疗子宫黏膜下肌瘤对卵巢功能、免疫功能及性生活质量的影响[J].医学临床研究,2016,33(5):838-841+845.
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[4]王金娟,成九梅,张颖,等.宫腔镜手术与腹腔镜手术治疗较大Ⅱ型黏膜下肌瘤的临床研究[J].北京医学,2017,39(2):168-170.
[5]王娜.宫腔镜、腹腔镜治疗子宫黏膜下大肌瘤疗效比较[J].中国实用医药,2016,11(22):80-81.
[6]卓娟如,郭群,魏薇,等.宫腔镜、腹腔镜治疗子宫黏膜下大肌瘤疗效比较[J].华夏医学,2016,29(4):25-27.
[2]姚秀玲,刘秀云,赵伟,等.腹腔镜与宫腔镜治疗子宫黏膜下肌瘤对卵巢功能、免疫功能及性生活质量的影响[J].医学临床研究,2016,33(5):838-841+845.
[3]丁晓云.对比分析宫腔镜、腹腔镜治疗子宫黏膜下大肌瘤的临床效果[J].中国卫生标准管理,2016,23(2):63-64.
[4]王金娟,成九梅,张颖,等.宫腔镜手术与腹腔镜手术治疗较大Ⅱ型黏膜下肌瘤的临床研究[J].北京医学,2017,39(2):168-170.
[5]王娜.宫腔镜、腹腔镜治疗子宫黏膜下大肌瘤疗效比较[J].中国实用医药,2016,11(22):80-81.
[6]卓娟如,郭群,魏薇,等.宫腔镜、腹腔镜治疗子宫黏膜下大肌瘤疗效比较[J].华夏医学,2016,29(4):25-27.