阴式子宫肌瘤剔除术与腹腔镜下子宫肌瘤剔除术临床效果研究
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摘要
目的观察阴式子宫肌瘤剔除术与腹腔镜下子宫肌瘤剔除术治疗子宫肌瘤的效果及安全性。方法选取2016年6月—2018年6月在我院治疗的160例子宫肌瘤患者,采用随机数字表法分为观察组和对照组各80例。对照组患者接受腹腔镜下子宫肌瘤剔除术,观察组患者接受阴式子宫肌瘤剔除术。观察比较两组患者手术完成情况、术后胃肠功能恢复情况和术后并发症发生情况。结果两组均顺利完成手术。观察组平均手术时间明显短于对照组,平均术后出血量明显少于对照组,差异均有统计学意义(P<0.01);观察组术后肠鸣音恢复时间、术后首次排气时间和术后首次排便时间均明显短于对照组,差异均有统计学意义(P<0.01)。两组术后总并发症发生率比较差异无统计学意义(P>0.05)。结论与腹腔镜下子宫肌瘤剔除术相比,阴式子宫肌瘤剔除术治疗子宫肌瘤手术时间短、术中出血量少、术后胃肠功能恢复快。
Objective Objectives To compare the clinical effect and safety of transvaginal laparoscopic myomectomy and laparoscopic myomectomy in the treatment of hysteromyoma. Methods A total of 160 patients with hysteromyoma who were treated in our hospital from June 2016 to June 2018 were selected and randomized assigned into observation group(n=80) and control group(n=80). Patients in observation group received transvaginal laparoscopic myomectomy and those in control group received laparoscopic myomectomy.The surgical completion, postoperative gastrointestinal function recovery and postoperative complications were compared between the two groups. Results All patients underwent surgery successfully. Observation group resulted in a lower blood loss and less duration of surgery than in control group(P<0.01). The recovery time of bowel sound, first exhaust and first cacation after operation in observation group were significantly shorter in observation group than in control group(P<0.01). The complication rate after surgery showed no statistical difference between groups(P>0.05). Conclusion Transvaginal laparoscopic myomectomy are superior to laparoscopic myomectomy in terms of lower blood loss, shorter duration of surgery and better recovery of gastrointestinal function.
Objective Objectives To compare the clinical effect and safety of transvaginal laparoscopic myomectomy and laparoscopic myomectomy in the treatment of hysteromyoma. Methods A total of 160 patients with hysteromyoma who were treated in our hospital from June 2016 to June 2018 were selected and randomized assigned into observation group(n=80) and control group(n=80). Patients in observation group received transvaginal laparoscopic myomectomy and those in control group received laparoscopic myomectomy.The surgical completion, postoperative gastrointestinal function recovery and postoperative complications were compared between the two groups. Results All patients underwent surgery successfully. Observation group resulted in a lower blood loss and less duration of surgery than in control group(P<0.01). The recovery time of bowel sound, first exhaust and first cacation after operation in observation group were significantly shorter in observation group than in control group(P<0.01). The complication rate after surgery showed no statistical difference between groups(P>0.05). Conclusion Transvaginal laparoscopic myomectomy are superior to laparoscopic myomectomy in terms of lower blood loss, shorter duration of surgery and better recovery of gastrointestinal function.
引文
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[8] Yang R,Tao W,Chen Y Y,et al.Enhanced recovery after surgery programs versus traditional perioperative care in laparoscopic hepatectomy:A meta-analysis[J].Int J Surg,2016,36(Pt A):274-282.
[9] 黄红莲.腹腔镜子宫肌瘤剔除术的临床应用分析[J].中外医学研究,2015,13(19):116-117.
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[11] 鄢碧玉,毛胜艳,程蓉,等.不同术式对子宫肌瘤的治疗及预后比较分析[J].现代生物医学进展,2013,13(28):5486-5488.
[2] 郭欣娜.阴式子宫肌瘤剔除手术临床分析[J].河北医药,2014,36(23):3608-3609.
[3] 谢幸,苟文丽.妇产科学[M].8版.北京:人民卫生出版社,2013:331-334.
[4] 李莉,宋静慧.子宫肌瘤治疗研究进展[J].内蒙古医学杂志,2012,44(4):441-445.
[5] 崔满华,许天敏,孙大伟,等.子宫肌瘤手术治疗适应证及手术范围选择[J].中国实用妇科与产科杂志,2011,27(7):488-491.
[6] 林仲秋.子宫肌瘤的手术治疗[J].中国计划生育和妇产科,2012,4(3):38-40,45.
[7] 朱珠,倪观太,周毅惠,等.子宫肌瘤剔除术三种术式临床结局分析[J].皖南医学院学报,2010,29(1):33-36.
[8] Yang R,Tao W,Chen Y Y,et al.Enhanced recovery after surgery programs versus traditional perioperative care in laparoscopic hepatectomy:A meta-analysis[J].Int J Surg,2016,36(Pt A):274-282.
[9] 黄红莲.腹腔镜子宫肌瘤剔除术的临床应用分析[J].中外医学研究,2015,13(19):116-117.
[10] 陈凛,陈亚进,董海龙,等.加速康复外科中国专家共识及路径管理指南(2018版)[J].中国实用外科杂志,2018,38(1):1-20.
[11] 鄢碧玉,毛胜艳,程蓉,等.不同术式对子宫肌瘤的治疗及预后比较分析[J].现代生物医学进展,2013,13(28):5486-5488.