腹腔镜与经腹子宫肌瘤剔除术治疗子宫肌瘤的效果及对患者术后妊娠的影响
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  • 英文篇名:Effect of laparoscopic and abdominal myomectomy on hysteromyoma and its influence on postoperative pregnancy of patients
  • 作者:唐华 ; 董先梅
  • 英文作者:TANG Hua;DONG Xian-mei;Nanzheng District People's Hospital;
  • 关键词:腹腔镜子宫肌瘤剔除术 ; 经腹子宫肌瘤剔除术 ; 子宫肌瘤
  • 英文关键词:laparoscopic myomectomy;;abdominal myomectomy;;hysteromyoma
  • 中文刊名:YLYS
  • 英文刊名:Clinical Research and Practice
  • 机构:南郑区人民医院;
  • 出版日期:2019-05-01
  • 出版单位:临床医学研究与实践
  • 年:2019
  • 期:v.4
  • 语种:中文;
  • 页:YLYS201913032
  • 页数:2
  • CN:13
  • ISSN:61-1503/R
  • 分类号:83-84
摘要
目的探究腹腔镜子宫肌瘤剔除术(LM)与经腹子宫肌瘤剔除术(AM)治疗子宫肌瘤的效果及其对患者术后妊娠的影响。方法将110例子宫肌瘤患者按治疗方式不同分为对照组(55例,AM)和观察组(55例,LM)。比较两组的治疗效果。结果治疗后,两组患者的AMH、E2、FSH水平均降低,但观察组高于对照组(P<0.05)。两组浆膜下肌瘤患者术后妊娠率高于肌壁间和黏膜下肌瘤患者(P<0.05)。观察组患者盆腔粘连率低于对照组(P<0.05)。结论对有妊娠要求的患者,采用LM与AM治疗都是安全有效的,但前者对患者的卵巢功能损伤更小。
        Objective To explore the effect of laparoscopic myomectomy(LM) and abdominal myomectomy(AM) on hysteromyoma and its influence on postoperative pregnancy of patients. Methods A total of 110 patients with hysteromyoma were divided into control group(55 cases, AM) and observation group(55 cases, LM) according to the different treatment methods. The therapeutic effects of the two groups were compared. Results After treatment, the levels of AMH, E2 and FSH in the two groups decreased, but those in the observation group were higher than the control group( P <0.05). The pregnancy rate of the patients with subserous myoma in both groups was higher than that of the patients with submucosal myoma and intermural myoma(P<0.05). The incidence of pelvic adhesions in the observation group was lower than that in the control group(P <0.05). Conclusion LM and AM are relatively safe and effective for patients with pregnancy requirements, but the former has less damage to ovarian function.
引文
[1]陆宏,刘佳,王晓彬,等.腹腔镜子宫肌瘤剔除术与经腹子宫肌瘤剔除术对子宫肌瘤患者术后妊娠的影响[J].中国医药导报,2015,36(12):102-106,111.
    [2]施海瑛,卢景和.腹腔镜与经腹子宫肌瘤剔除术对子宫肌瘤患者术后妊娠的影响[J].泰山医学院学报,2015,36(12):1410-1411.
    [3]贾旭英.腹腔镜子宫肌瘤剔除术与经腹子宫肌瘤剔除术术后肌瘤残留复发及妊娠结局的对比研究[J].山西职工医学院学报,2015,25(6):48-50.
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    [6]胡婷,王宇翮,石钢.腹腔镜下保留生育功能手术治疗早期卵巢交界性肿瘤的临床研究[J].实用医院临床杂志,2017,14(4):52-54.

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