腹腔镜下行子宫肌瘤剔除术治疗子宫肌瘤的疗效及应激反应观察

目的研究分析腹腔镜下行子宫肌瘤剔除术治疗子宫肌瘤的疗效及对患者应激反应的影响。方法将妇科诊治的60例子宫肌瘤患者纳入研究对象,采用随机分配原则将她们分为研究组和对照组各30例。研究组的手术方式为腹腔镜下子宫肌瘤剔除术,对照组为传统开腹子宫肌瘤剔除术。并对两组患者的手术时间、术中出血量、肛门首次排气时间、术后并发症发生情况、住院时间及手术前后应激反应的相关指标进行比较。结果经比较,研究组患者的手术时间、术后肛门首次排气时间及住院时间明显短于对照组,术中出血量及术后并发症发生率明显少于对照组(P<0.05)。两组应激反应相关指标比较:干预前两组比较差异无统计学意义,术后1 d、3 d时两组患者应激反应检测指标均比术前显著升高,但研究组显著低于对照组(P<0.05)。结论腹腔镜子宫肌瘤剔除术治疗子宫肌瘤具有创伤小,术后易恢复,并发症少,应激反应低等优点,应推广使用。

Observation on the Efficacy and Stress Response of Laparoscopic Myomectomy for Uterine Leiomyoma

Objective To study and analyze the effect of laparoscopic myomectomy on uterine leiomyoma and stress response of patients. Methods 60 patients with uterine leiomyoma who were diagnosed and treated in gynecology department of our hospital were included in the study. They were divided into study group and control group with 30 cases each according to the principle of random distribution. Laparoscopic myomectomy was used in the study group, while traditional open myomectomy was used in the control group. The operation time, bleeding volume, first exhaust time of anus, complications, hospitalization time and stress reaction before and after operation were compared between the two groups. Results Compared with the control group, the operation time, the first exhaust time and hospitalization time of the study group were significantly shorter than those of the control group, and the amount of bleeding during operation and the incidence of complications after operation were significantly less than those of the control group(P<0.05). There was no significant difference in stress response between the two groups before and after intervention. At 1 and 3 days after operation, the stress response indexes of the two groups were significantly higher than those of the preoperative group, but the study group was significantly lower than the control group(P<0.05). Conclusions Laparoscopic myomectomy for uterine leiomyoma has the advantages of less trauma, easy recovery, fewer complications and low stress response. It should be popularized.