中国医学前沿杂志（电子版）
中國醫學前沿雜誌（電子版）
중국의학전연잡지（전자판）
CHINESE JOURNAL OF THE FRONTIERS OF MEDICAL SCIENCE(ELECTRONIC VERSION)
2015年
1期
72-74
,共3页
宫腔镜%子宫肌瘤剔除术%开腹手术%子宫肌瘤
宮腔鏡%子宮肌瘤剔除術%開腹手術%子宮肌瘤
궁강경%자궁기류척제술%개복수술%자궁기류
Laparoscope%Hysteromyomectomy%Laparotomy%Hysteromyoma
目的：探究宫腔镜下子宫肌瘤剔除术与开腹手术治疗子宫肌瘤效果的异同。方法将本院2013年4月至2014年4月收治的128例子宫肌瘤患者作为研究对象，按照随机数表法将其均分为研究组与对照组，每组各64例。研究组患者采用宫腔镜下子宫肌瘤剔除术治疗，对照组患者采用开腹手术治疗。比较两组患者手术时间、术中出血量、术后排气时间、住院时间及并发症发生情况。结果研究组患者手术时间、术中出血量、术后排气时间、住院时间均少于对照组，差异均具有显著性（P＜0.05）。研究组患者无并发症发生，对照组患者3例切口红肿硬结，3例肠梗阻，并发症发生率为12.50%，差异具有显著性（χ2＝6.00，P＜0.05）。结论宫腔镜下子宫肌瘤剔除术治疗子宫肌瘤较开腹手术效果更加显著，可有效缩短患者手术时间和住院时间，降低并发症发生率，值得临床推广应用。
目的：探究宮腔鏡下子宮肌瘤剔除術與開腹手術治療子宮肌瘤效果的異同。方法將本院2013年4月至2014年4月收治的128例子宮肌瘤患者作為研究對象，按照隨機數錶法將其均分為研究組與對照組，每組各64例。研究組患者採用宮腔鏡下子宮肌瘤剔除術治療，對照組患者採用開腹手術治療。比較兩組患者手術時間、術中齣血量、術後排氣時間、住院時間及併髮癥髮生情況。結果研究組患者手術時間、術中齣血量、術後排氣時間、住院時間均少于對照組，差異均具有顯著性（P＜0.05）。研究組患者無併髮癥髮生，對照組患者3例切口紅腫硬結，3例腸梗阻，併髮癥髮生率為12.50%，差異具有顯著性（χ2＝6.00，P＜0.05）。結論宮腔鏡下子宮肌瘤剔除術治療子宮肌瘤較開腹手術效果更加顯著，可有效縮短患者手術時間和住院時間，降低併髮癥髮生率，值得臨床推廣應用。
목적：탐구궁강경하자궁기류척제술여개복수술치료자궁기류효과적이동。방법장본원2013년4월지2014년4월수치적128례자궁기류환자작위연구대상，안조수궤수표법장기균분위연구조여대조조，매조각64례。연구조환자채용궁강경하자궁기류척제술치료，대조조환자채용개복수술치료。비교량조환자수술시간、술중출혈량、술후배기시간、주원시간급병발증발생정황。결과연구조환자수술시간、술중출혈량、술후배기시간、주원시간균소우대조조，차이균구유현저성（P＜0.05）。연구조환자무병발증발생，대조조환자3례절구홍종경결，3례장경조，병발증발생솔위12.50%，차이구유현저성（χ2＝6.00，P＜0.05）。결론궁강경하자궁기류척제술치료자궁기류교개복수술효과경가현저，가유효축단환자수술시간화주원시간，강저병발증발생솔，치득림상추엄응용。
Objective To explore the different effects of hysteromyomectomy under laparoscope and laparotomy in the treatment of hysteromyoma. Method 128 patients with uterine ifbroids in our hospital from April 2013 to April 2014 were treated as research subjects, according to a random number table method which were divided into study group and control group, 64 cases in each group. Study group patients were treated by hysteroscopic myomectomy, control group were treated by open operation. Compared the two groups of operative time, bleeding volume, the time of exsuflfation and hospitalization after operation and complication. Result Operative time, bleeding volume, the time of exsufflation and hospitalization after operation and complication. in study group were less than control group, the difference was signiifcant (P<0.05). Study group of patients with no complications, in control group 3 cases of patients with incision swelling induration, 3 cases with intestinal obstruction, the complication rate was 12.50%, the difference was signiifcant (χ2=6.00, P<0.05). Conclusion Compared with laparotomy in the treatment of hysteromyoma, the effect of hysteromyomectomy under laparoscope is signiifcant, and hysteromyomectomy under laparoscope can reduce the operation and length of hospital stay, reduce intraoperative and postoperative adverse reaction, worthy of clinical application.
