开腹子宫肌瘤剔除术的临床研究
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摘要
目的探讨开腹子宫肌瘤剔除术治疗子宫肌瘤患者的临床疗效及应用价值。方法选取2015年2月至2017年2月我院收治的60例子宫肌瘤患者。60例患者均经妇科检查或者B超确诊。按照手术方式分为两组。开腹组34例给予开腹子宫肌瘤剔除,腹腔镜组26例给予腹腔镜子宫肌瘤剔除术。术后统计患者手术时间、排气时间、手术并发症等相关指标。结果开腹子宫肌瘤剔除术相较于腹腔镜手术,所花费的手术时间更短,但术中出血量多于腹腔镜组,在术后排气时间上也长于腹腔镜,均对比差异显著(P<0.05)。结论应用腹腔镜子宫肌瘤剔除术治疗子宫肌瘤临床各项指标较优,具有切口美观、术中出血量少以及创伤小等诸多优势,但尚不能取代开腹子宫肌瘤剔除术。
Objective To investigate the clinical efficacy and application value of myomectomy in patients with uterine myoma.Methods Selected 60 patients with uterine fibroids who were admitted to our hospital from February 2015 to February 2017.All 60 patients were diagnosed with gynecological examination or B-ultrasound.According to the surgical method is divided into two groups.34 cases were treated with open myomectomy and 26 cases were treated with laparoscopic myomectomy.Postoperative operative time,exhaust time,operative complications and other related indicators were recorded.Results Compared with laparoscopic surgery,laparotomy had a shorter operative time,but the amount of intraoperative blood loss was more than that of laparoscopic group,and the duration of postoperative exhalation was longer than laparoscopy,the difference is significant(P<0.05).Conclusion The application of transabdominal myomectomy for the treatment of uterine fibroids has better clinical indicators,such as beautiful incision,less intraoperative blood loss and less invasiveness,but it can not be used as a substitute for open myomectomy.
Objective To investigate the clinical efficacy and application value of myomectomy in patients with uterine myoma.Methods Selected 60 patients with uterine fibroids who were admitted to our hospital from February 2015 to February 2017.All 60 patients were diagnosed with gynecological examination or B-ultrasound.According to the surgical method is divided into two groups.34 cases were treated with open myomectomy and 26 cases were treated with laparoscopic myomectomy.Postoperative operative time,exhaust time,operative complications and other related indicators were recorded.Results Compared with laparoscopic surgery,laparotomy had a shorter operative time,but the amount of intraoperative blood loss was more than that of laparoscopic group,and the duration of postoperative exhalation was longer than laparoscopy,the difference is significant(P<0.05).Conclusion The application of transabdominal myomectomy for the treatment of uterine fibroids has better clinical indicators,such as beautiful incision,less intraoperative blood loss and less invasiveness,but it can not be used as a substitute for open myomectomy.
引文
[1]蔡兴苑,卢丹,魏薇,等.子宫肌瘤剔除术后复发情况及相关危险因素分析[J].实用妇产科杂志,2015,31(5):358-360.
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[7]杨昕仪.腹腔镜下子宫肌瘤剔除术与开腹手术的临床疗效对比[J].临床医学研究与实践,2017,2(35):38-39.
[8]朴俊香.腹腔镜子宫肌瘤剔除术与传统开腹手术治疗子宫肌瘤的临床疗效比较[J].实用妇科内分泌杂志(电子版),2017,7(22):100-101.
[9]谢秀玲.腹腔镜子宫肌瘤剔除术与传统开腹手术治疗子宫肌瘤的临床疗效比较[J].齐齐哈尔医学院学报,2016,37(19):2432-2433.
[10]刘清华,谷晓芬,伊丽努尔·伊力亚斯.腹腔镜下与开腹子宫肌瘤剔除术的临床比较研究[J].海南医学,2016,27(3):483-485.
[2]陈娟.米非司酮联合中药宫瘤消对子宫肌瘤患者细胞因子和性激素水平影响研究[J].临床和实验医学杂志,2016,15(14):1428-1431.
[3]周艳.腹腔镜下子宫肌瘤剔除术与开腹手术的临床对比研究[J].实用妇科内分泌电子杂志,2016,3(8):152-153.
[4]冯丽丽.腹腔镜子宫肌瘤剔除术与传统开腹手术治疗子宫肌瘤的临床疗效对比研究[J].中国继续医学教育,2016,8(26):145-146.
[5]粟晓艳.腹腔镜下子宫肌瘤剔除术与开腹子宫肌瘤剔除术的临床效果对比分析[J].河南医学研究,2017,26(8):1480-1481.
[6]刘建增.腹腔镜子宫肌瘤剔除术的临床研究[J].中国医药科学,2016,6(8):108-110.
[7]杨昕仪.腹腔镜下子宫肌瘤剔除术与开腹手术的临床疗效对比[J].临床医学研究与实践,2017,2(35):38-39.
[8]朴俊香.腹腔镜子宫肌瘤剔除术与传统开腹手术治疗子宫肌瘤的临床疗效比较[J].实用妇科内分泌杂志(电子版),2017,7(22):100-101.
[9]谢秀玲.腹腔镜子宫肌瘤剔除术与传统开腹手术治疗子宫肌瘤的临床疗效比较[J].齐齐哈尔医学院学报,2016,37(19):2432-2433.
[10]刘清华,谷晓芬,伊丽努尔·伊力亚斯.腹腔镜下与开腹子宫肌瘤剔除术的临床比较研究[J].海南医学,2016,27(3):483-485.