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
目的探讨子宫黏膜下大肌瘤患者采取宫腔镜、腹腔镜治疗的临床疗效。方法抽取我院2015年2月—2018年2月收治的子宫黏膜下大肌瘤患者70例作为研究对象,入组对象愿意配合研究,临床资料完整,采取随机数表法分组方式研究,每组35例。宫腔镜组采取宫腔镜手术治疗,腹腔镜组采取腹腔镜手术治疗。记录两组手术时间、术中出血量、术后排气时间、并发症发生率、住院时间,并测定治疗前后FSH与E2,实施组间统计学分析。结果两组手术时间比较差异无统计学意义(P> 0.05),但腹腔镜组患者术中出血量、术后排气时间、并发症发生率及住院时间均低于宫腔镜组(P <0.05);两组患者治疗前FSH与E2比较差异无统计学意义(P> 0.05),治疗后腹腔镜组与宫腔镜组比较差异有统计学意义(P <0.05)。结论子宫黏膜下大肌瘤患者采取宫腔镜治疗与腹腔镜治疗均有一定的效果,但腹腔镜手术治疗出血量更少,可缩短术后康复时间,并发症少,而且可促进性激素正常分泌。
Objective To investigate the clinical effect of hysteroscopy and laparoscopy in large submucosal myoma of uterus. Methods 70 cases of large submucosal myoma of uterus treated in our hospital from February 2015 to February 2018 were selected as the study objects. The subjects were willing to cooperate with the study, and the clinical data was complete. The study was conducted by random number method with 35 cases in each group. Hysteroscopy group was treated by hysteroscopic surgery, and laparoscopic group was treated by laparoscopic surgery. The operation time, the amount of intraoperative bleeding, postoperative exhaust time, complication rate, hospitalization time, FSH and E2 before and after treatment were recorded in both groups. Interstitial statistical analysis was carried out. Results There was no significant difference in operative time between the two groups(P > 0.05), but the amount of intraoperative bleeding, postoperative exhaust time, complication rate and hospitalization time in the laparoscopic group were lower than those in the hysteroscopy group(P < 0.05). There was no significant difference in FSH and E2 between the two groups before treatment(P > 0.05), but there was a significant difference between the laparoscopic group and the hysteroscopy group after treatment(P < 0. 05). Conclusion Hysteroscopy and laparoscopy are effective in the treatment of large submucosal myoma of uterus, but the amount of intraoperative bleeding treated by laparoscopic surgery is fewer, which can shorten the postoperative recovery time and complications, and can promote normal secretion of sex hormones.
Objective To investigate the clinical effect of hysteroscopy and laparoscopy in large submucosal myoma of uterus. Methods 70 cases of large submucosal myoma of uterus treated in our hospital from February 2015 to February 2018 were selected as the study objects. The subjects were willing to cooperate with the study, and the clinical data was complete. The study was conducted by random number method with 35 cases in each group. Hysteroscopy group was treated by hysteroscopic surgery, and laparoscopic group was treated by laparoscopic surgery. The operation time, the amount of intraoperative bleeding, postoperative exhaust time, complication rate, hospitalization time, FSH and E2 before and after treatment were recorded in both groups. Interstitial statistical analysis was carried out. Results There was no significant difference in operative time between the two groups(P > 0.05), but the amount of intraoperative bleeding, postoperative exhaust time, complication rate and hospitalization time in the laparoscopic group were lower than those in the hysteroscopy group(P < 0.05). There was no significant difference in FSH and E2 between the two groups before treatment(P > 0.05), but there was a significant difference between the laparoscopic group and the hysteroscopy group after treatment(P < 0. 05). Conclusion Hysteroscopy and laparoscopy are effective in the treatment of large submucosal myoma of uterus, but the amount of intraoperative bleeding treated by laparoscopic surgery is fewer, which can shorten the postoperative recovery time and complications, and can promote normal secretion of sex hormones.
引文
[1]余婷婷.宫腔镜、腹腔镜治疗子宫黏膜下大肌瘤疗效比较[J].山东医药,2014,54(42):89-90.
[2]徐玉雪.宫腔镜、腹腔镜治疗子宫黏膜下大肌瘤疗效比较[J].中国医疗器械信息,2017,23(13):99-100.
[3]江孝华.腹腔镜与宫腔镜实行子宫粘膜下大肌瘤切除术的疗效比较[J].浙江创伤外科,2016,21(5):889-891.
[4]庄元.观察比较宫腔镜、腹腔镜下治疗子宫黏膜下大肌瘤的手术效果[J].当代医学,2016,22(20):26-27.
[5]王红梅,代荫梅.子宫肌瘤对女性生育能力的影响[J].中国妇幼保健,2015,30(13):2130-2132.
[6]卓娟如,郭群,魏薇.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.
[7]张文静.宫腔镜与腹腔镜治疗子宫黏膜下大肌瘤疗效比较[J].现代诊断与治疗,2017,28(13):2454-2455.
[8]洪开,王晓东,姜继勇.宫腔镜电切术治疗子宫黏膜下大肌瘤65例疗效分析[J].中华实用诊断与治疗杂志,2014,28(7):699-700.
[9]郑霞,朱烨.子宫黏膜下大肌瘤宫腔镜与腹腔镜治疗的临床疗效对比[J].北京医学,2018,40(2):107-109,114.
[10]张丽红,张春红.宫腔镜、腹腔镜治疗子宫黏膜下大肌瘤的疗效比较[J].临床研究,2017,25(5):77,85.
[11]吴双.腹腔镜与宫腔镜下行子宫黏膜下大肌瘤切除术的疗效对比[J].哈尔滨医药,2015,35(z1):48-49.
[12]李其香.宫腔镜电切术治疗子宫黏膜下肌瘤患者的临床效果研究[J].中国继续医学教育,2018,10(24):81-82.
[13]田晶,周永来.腹腔镜与宫腔镜施行子宫粘膜下大肌瘤切除术的疗效比较[J].中外医疗,2016,35(9):72-73,96.
[2]徐玉雪.宫腔镜、腹腔镜治疗子宫黏膜下大肌瘤疗效比较[J].中国医疗器械信息,2017,23(13):99-100.
[3]江孝华.腹腔镜与宫腔镜实行子宫粘膜下大肌瘤切除术的疗效比较[J].浙江创伤外科,2016,21(5):889-891.
[4]庄元.观察比较宫腔镜、腹腔镜下治疗子宫黏膜下大肌瘤的手术效果[J].当代医学,2016,22(20):26-27.
[5]王红梅,代荫梅.子宫肌瘤对女性生育能力的影响[J].中国妇幼保健,2015,30(13):2130-2132.
[6]卓娟如,郭群,魏薇.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.
[7]张文静.宫腔镜与腹腔镜治疗子宫黏膜下大肌瘤疗效比较[J].现代诊断与治疗,2017,28(13):2454-2455.
[8]洪开,王晓东,姜继勇.宫腔镜电切术治疗子宫黏膜下大肌瘤65例疗效分析[J].中华实用诊断与治疗杂志,2014,28(7):699-700.
[9]郑霞,朱烨.子宫黏膜下大肌瘤宫腔镜与腹腔镜治疗的临床疗效对比[J].北京医学,2018,40(2):107-109,114.
[10]张丽红,张春红.宫腔镜、腹腔镜治疗子宫黏膜下大肌瘤的疗效比较[J].临床研究,2017,25(5):77,85.
[11]吴双.腹腔镜与宫腔镜下行子宫黏膜下大肌瘤切除术的疗效对比[J].哈尔滨医药,2015,35(z1):48-49.
[12]李其香.宫腔镜电切术治疗子宫黏膜下肌瘤患者的临床效果研究[J].中国继续医学教育,2018,10(24):81-82.
[13]田晶,周永来.腹腔镜与宫腔镜施行子宫粘膜下大肌瘤切除术的疗效比较[J].中外医疗,2016,35(9):72-73,96.