子宫肌瘤应用传统开腹和腹腔镜微创治疗的比较
李裕华
（惠州市第一妇幼保健院，广东 惠州，516000）
中图分类号：R 文献标识码：A 文章编号：1674-7860（2016）18-0129-02 证型：IDGB
【摘 要】目的：比较子宫肌瘤应用传统开腹和腹腔镜微创治疗的效果及安全性。方法：选取108例子宫肌瘤患者作为研究对象，按照随机数字表法进行分组，对照组和观察组，各54例；对照组采取传统开腹子宫肌瘤剔除术治疗，观察组采取腹腔镜微创子宫肌瘤剔除术治疗；对比两组患者的手术疗效观察指标，综合评价两种治疗方法的安全性。结果：两组患者的剔除肌瘤个数、剔除最大肌瘤直径、肌瘤残留率、肌瘤复发率均无显著性差异（P＞0.05），但观察组患者的疗效满意率显著大于对照组（P＜0.05）；观察组手术时间长于对照组，但无显著性差异（P＞0.05）；观察组术中出血量显著少于对照组，排气时间、术后住院时间均显著短于对照组，并发症发生率显著小于对照组；两组数据具有显著性差异（P＜0.05）。结论：传统开腹和腹腔镜微创子宫肌瘤剔除术治疗子宫肌瘤的疗效相当，与传统开腹术对比，腹腔镜微创术的手术时间略长，但具有创伤性小、术后恢复快、并发症发生少及疗效满意率高优势。
【关键词】子宫肌瘤；传统开腹；腹腔镜微创
【Abstract】Objective: To comparethe effect and safety of traditional open surgery and minimally invasivelaparoscopic surgery in treating uterine fibroids. Methods: 108 patients withuterine fibroids were selected and randomLy divided into the control group andthe observation group, with 54 cases in each group. The control group was giventraditional open surgery while the observation group received minimallyinvasive laparoscopic surgery. Operation curative effect observation indexes oftwo groups of patients were compared to comprehensively evaluate the safety oftwo methods. Results: There was no significant difference in the number ofexcluded fibroids, the maximum size of the excluded myoma, the residual rate ofmyoma and the recurrence rate of myoma of two groups (P＞0.05), but the satisfactionof the observation group was significantly better than that of the controlgroup (P＜0.05); the operation timeof the observation group was longer than that of the control group, but thedifference was not significance (P＞0.05);the operative blood loss, exhaust time, postoperative hospital stay andcomplication rate of the observation group was significantly shorter than thatof the control group, and the difference was statistically significant (P<0.05). Conclusion:Traditional open surgery and minimallyinvasive laparoscopic surgery had similar effect in treating uterine fibroids,compared with traditional open surgery, minimally invasive laparoscopic surgerytook longer time, but it had the advantages of being minimal invasive, rapidpostoperative recovery, less complications and high curative effectsatisfaction rate.
【Keywords】uterinefibroids; traditional open surgery; minimally invasive laparoscopic surgery
doi:10.3969/j.issn.1674-7860.2016.18.062
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