中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2014年
35期
35-36
,共2页
子宫腺肌瘤%腹腔镜手术%应用价值%临床分析
子宮腺肌瘤%腹腔鏡手術%應用價值%臨床分析
자궁선기류%복강경수술%응용개치%림상분석
Uterine adenomyoma%Laparoscopic surgery%Application%Clinical analysis
目的：研究分析腹腔镜手术在子宫腺肌瘤治疗中的临床价值。方法：选取2011年2月-2013年2月在笔者所在医院接受治疗的120例子宫腺肌瘤患者，按照随机数字表法将其分为对照组和观察组各60例，其中对照组给予开腹手术，观察组给予子宫腺肌瘤腹腔镜手术。观察比较两组患者的手术时间、术中失血量、住院天数、并发症发生情况及术后复发情况。结果：观察组的手术时间和住院天数均明显短于对照组，术中失血量明显少于对照组，并发症发生率3.3%和术后复发率6.7%均明显低于对照组的13.3%和20.0%，差异均有统计学意义(P<0.05)。结论：腹腔镜手术在子宫腺肌瘤的治疗中具有重要的应用价值，创伤小、安全可靠且能够促进患者的预后，并可显著降低并发症的发生率与术后复发率，值得临床推广。
目的：研究分析腹腔鏡手術在子宮腺肌瘤治療中的臨床價值。方法：選取2011年2月-2013年2月在筆者所在醫院接受治療的120例子宮腺肌瘤患者，按照隨機數字錶法將其分為對照組和觀察組各60例，其中對照組給予開腹手術，觀察組給予子宮腺肌瘤腹腔鏡手術。觀察比較兩組患者的手術時間、術中失血量、住院天數、併髮癥髮生情況及術後複髮情況。結果：觀察組的手術時間和住院天數均明顯短于對照組，術中失血量明顯少于對照組，併髮癥髮生率3.3%和術後複髮率6.7%均明顯低于對照組的13.3%和20.0%，差異均有統計學意義(P<0.05)。結論：腹腔鏡手術在子宮腺肌瘤的治療中具有重要的應用價值，創傷小、安全可靠且能夠促進患者的預後，併可顯著降低併髮癥的髮生率與術後複髮率，值得臨床推廣。
목적：연구분석복강경수술재자궁선기류치료중적림상개치。방법：선취2011년2월-2013년2월재필자소재의원접수치료적120례자궁선기류환자，안조수궤수자표법장기분위대조조화관찰조각60례，기중대조조급여개복수술，관찰조급여자궁선기류복강경수술。관찰비교량조환자적수술시간、술중실혈량、주원천수、병발증발생정황급술후복발정황。결과：관찰조적수술시간화주원천수균명현단우대조조，술중실혈량명현소우대조조，병발증발생솔3.3%화술후복발솔6.7%균명현저우대조조적13.3%화20.0%，차이균유통계학의의(P<0.05)。결론：복강경수술재자궁선기류적치료중구유중요적응용개치，창상소、안전가고차능구촉진환자적예후，병가현저강저병발증적발생솔여술후복발솔，치득림상추엄。
Objective:To study the clinical value of laparoscopic surgery in the treatment of uterine adenomyoma.Method:120 patients with uterine adenomyoma admitted to our hospital from February 2011 to February 2013 were selected,they were divided into the control group and the observation group according to the random number table method,60 cases in each group.The control group was given open operation,the observation group was given laparoscopic surgery of uterine adenomyoma.The operation time,volume of blood loss during operation,length of stay,occurrence of complications and postoperative recurrence between the two groups were observed and compared.Result:The operation time and length of stay in observation group were significantly shorter than those in control group,the volume of blood loss during operation was significantly less than control group,the incidence of complications and postoperative recurrence rate in observation group were 3.3%and 6.7%,wihich were significantly lower than 13.3%and 20.0%in the control group,the differences were statistically significant(P<0.05).Conclusion:Laparoscopic surgery has the important application value in the treatment of uterine adenomyoma,little trauma, safe and reliable and can promote the prognosis of patients,and can significantly reduce the incidence of complications and recurrence rate,is worthy of clinical application.
