腹腔镜与开腹子宫肌瘤剔除术后的对比分析

目的了解腹腔镜与开腹子宫肌瘤剔除术对肌瘤残留、复发及妊娠结局的影响。方法对南通市瑞慈医院2011年1月至2013年1月收治的74例子宫肌瘤患者进行抽样,采用完全随机数字表法将其分成研究组和对照组,每组37例。研究组患者予以腹腔镜子宫肌瘤剔除术治疗;对照组患者予以开腹子宫肌瘤剔除术治疗,比较两组患者的临床治疗效果。结果两组患者肌瘤残留率、肌瘤复发率、术后妊娠状况比较,差异无统计学意义(P0.05);研究组手术时间、术中出血量、术后排气时间、住院时间、术后并发症、术后不良反应发生率低于对照组(P0.05)。结论腹腔镜子宫肌瘤剔除术安全有效,值得临床推广。

Contrastive analysis of laparoscopic myomectomy and transabdominal myomectomy in treatment of uterine fibroids

Objective To investigate the influence of laparoscopic myomectomy and transabdominal myomectomy on myoma residual,recurrence and pregnancy outcomes. Methods 74 patients with uterine fibroids treated in Ruici Hospital of Nantong City from January 2011 to January 2013 were selected and randomly divided into study group and control group. The patients in study group received laparoscopic myomectomy while patients in control group were given transabdominal myomectomy. Therapeutic effects were compared between the two groups. Results Myoma residual rate,myoma recurrence rate,pregnancy status after operation had no significant difference between two groups（ P 〉 0. 05）. Operation time,bleeding volume,postoperative exhaust time,hospital stays,postoperative complications and adverse reaction rate of study group were significantly lower than control group（ P 〈 0. 05）.Conclusion Laparoscopic myomectomy is effective and safe in treatment of uterine fibroids which is worthy of the clinical application.