中国妇幼健康研究
中國婦幼健康研究
중국부유건강연구
CHINESE JOURNAL OF MATERNAL AND CHILD HEALTH RESEARCH
2014年
4期
647-648,651
,共3页
贺英%李立楠%王霞%焦桂清%姬宏宇%梁登辉%刘晓娟
賀英%李立楠%王霞%焦桂清%姬宏宇%樑登輝%劉曉娟
하영%리립남%왕하%초계청%희굉우%량등휘%류효연
子宫肌瘤%腹腔镜术%开腹手术%疗效
子宮肌瘤%腹腔鏡術%開腹手術%療效
자궁기류%복강경술%개복수술%료효
uterus myoma%laparoscopy%laparotomy%curative effect
目的：探讨两种不同手术方式在子宫肌瘤剔除术中的临床效果。方法选择河北北方学院附属第一医院2011年1月～2013年12月的子宫肌瘤患者300例，按手术方式不同分为观察组和对照组，观察组采用经腹腔镜子宫肌瘤剔除术，对照组采用经腹子宫肌瘤剔除术，比较两组患者手术的临床效果。结果观察组手术时间、术中出血量和住院时间低于对照组（t 值分别为12．00、29．51、15．68，均P＜0．01），而住院费用高于对照组（t＝23．21，P＜0．01）。观察组术后3天、术后2个月生活质量评分高于对照组（t 值分别为14．67、14．78，均P＜0．01），观察组术后尿潴留、伤口感染发生率低于对照组（χ2值分别为8．25、4．23，均P＜0．05），总并发症发生率低于对照组（χ2＝13．40，P＜0．01）。结论经腹腔镜子宫肌瘤剔除术临床效果优于经腹部手术，且并发症少，可显著提高患者的生活质量，值得临床推广。
目的：探討兩種不同手術方式在子宮肌瘤剔除術中的臨床效果。方法選擇河北北方學院附屬第一醫院2011年1月～2013年12月的子宮肌瘤患者300例，按手術方式不同分為觀察組和對照組，觀察組採用經腹腔鏡子宮肌瘤剔除術，對照組採用經腹子宮肌瘤剔除術，比較兩組患者手術的臨床效果。結果觀察組手術時間、術中齣血量和住院時間低于對照組（t 值分彆為12．00、29．51、15．68，均P＜0．01），而住院費用高于對照組（t＝23．21，P＜0．01）。觀察組術後3天、術後2箇月生活質量評分高于對照組（t 值分彆為14．67、14．78，均P＜0．01），觀察組術後尿潴留、傷口感染髮生率低于對照組（χ2值分彆為8．25、4．23，均P＜0．05），總併髮癥髮生率低于對照組（χ2＝13．40，P＜0．01）。結論經腹腔鏡子宮肌瘤剔除術臨床效果優于經腹部手術，且併髮癥少，可顯著提高患者的生活質量，值得臨床推廣。
목적：탐토량충불동수술방식재자궁기류척제술중적림상효과。방법선택하북북방학원부속제일의원2011년1월～2013년12월적자궁기류환자300례，안수술방식불동분위관찰조화대조조，관찰조채용경복강경자궁기류척제술，대조조채용경복자궁기류척제술，비교량조환자수술적림상효과。결과관찰조수술시간、술중출혈량화주원시간저우대조조（t 치분별위12．00、29．51、15．68，균P＜0．01），이주원비용고우대조조（t＝23．21，P＜0．01）。관찰조술후3천、술후2개월생활질량평분고우대조조（t 치분별위14．67、14．78，균P＜0．01），관찰조술후뇨저류、상구감염발생솔저우대조조（χ2치분별위8．25、4．23，균P＜0．05），총병발증발생솔저우대조조（χ2＝13．40，P＜0．01）。결론경복강경자궁기류척제술림상효과우우경복부수술，차병발증소，가현저제고환자적생활질량，치득림상추엄。
Objective To investigate the clinical effect of two different operations on myomectomy .Methods From January 2011 to December 2013 300 patients in First Hospital Affiliated to Hebei Institute of North University were selected and divided into observation group and control group .The observation group was treated with laparoscopic myomectomy ( LM) , and the control group was treated with abdominal myomectomy ( AM) .The clinical effect was compared between two groups .Results The operation time , intraoperative bleeding volume and hospital stay were significantly decreased in the observation group compared with the control group (t value was 12.00, 29.51 and 15.68, respectively, all P<0.01), but the hospitalization cost was significantly increased in the observation group (t=23.21,P<0.01).The life quality score was significantly increased at 3 day and 2 month after operation in the observation group (t value was 14.67 and 14.78, respectively, both P<0.01).The incidences of postoperative urinary retention and wound infection in the observation group were significantly decreased compared to the control group (χ2 value was 8.25 and 4.23, respectively, both P<0.05), and the total incidence of complications in the observation group was significantly decreased compared to the control group (χ2 =13.40, P<0.01). Conclusion The effect of LM is superior to AM with fewer complications .It can improve patients ’ quality of life significantly , so it is worthy of clinical application .
