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
2015年
3期
509-511
,共3页
腹腔镜%多发性子宫肌瘤%肌瘤剥除%疗效
腹腔鏡%多髮性子宮肌瘤%肌瘤剝除%療效
복강경%다발성자궁기류%기류박제%료효
laparoscopic%multiple myomata%myomectomy%therapeutic efficacy
目的：探讨腹腔镜下多发性子宫肌瘤剥除术的临床治疗效及临床价值。方法选择2012年1月至2014年1月在江阴市人民医院妇科就诊的多发性子宫肌瘤280例,其中180例患者行腹腔镜下子宫肌瘤剥术除为观察组,100例患者行传统经腹子宫肌瘤剥除术为对照组,比较两组的手术时间、术中出血量、术后肛门排气时间、住院时间、残瘤率以及术后并发症发生情况。结果腹腔镜下多发性子宫肌瘤剥除术平均手术时间长于对照组；术后肛门排气时间、住院时间均短于对照组；术中出血量少于对照组,经比较差异均有统计学意义(Z值分别为-13.603、-13.856、-14.519、-11.376,均P<0.05)。腹腔镜下多发性子宫肌瘤剥除残瘤率稍高(5.56%),两组比较差异无统计学意义(χ2=0.948,P=0.330)。两组术后切口愈合不良、盆腔感染、子宫切口血肿、皮下气肿和静脉血栓并发症发生率比较差异均无统计学意义(χ2值分别为1.308、1.265、0.203、1.685,均P>0.05)。结论腹腔镜下多发性子宫肌瘤剥除可行、实用、临床效果好,是要求保留子宫患者有效、安全的治疗方式之一。
目的：探討腹腔鏡下多髮性子宮肌瘤剝除術的臨床治療效及臨床價值。方法選擇2012年1月至2014年1月在江陰市人民醫院婦科就診的多髮性子宮肌瘤280例,其中180例患者行腹腔鏡下子宮肌瘤剝術除為觀察組,100例患者行傳統經腹子宮肌瘤剝除術為對照組,比較兩組的手術時間、術中齣血量、術後肛門排氣時間、住院時間、殘瘤率以及術後併髮癥髮生情況。結果腹腔鏡下多髮性子宮肌瘤剝除術平均手術時間長于對照組；術後肛門排氣時間、住院時間均短于對照組；術中齣血量少于對照組,經比較差異均有統計學意義(Z值分彆為-13.603、-13.856、-14.519、-11.376,均P<0.05)。腹腔鏡下多髮性子宮肌瘤剝除殘瘤率稍高(5.56%),兩組比較差異無統計學意義(χ2=0.948,P=0.330)。兩組術後切口愈閤不良、盆腔感染、子宮切口血腫、皮下氣腫和靜脈血栓併髮癥髮生率比較差異均無統計學意義(χ2值分彆為1.308、1.265、0.203、1.685,均P>0.05)。結論腹腔鏡下多髮性子宮肌瘤剝除可行、實用、臨床效果好,是要求保留子宮患者有效、安全的治療方式之一。
목적：탐토복강경하다발성자궁기류박제술적림상치료효급림상개치。방법선택2012년1월지2014년1월재강음시인민의원부과취진적다발성자궁기류280례,기중180례환자행복강경하자궁기류박술제위관찰조,100례환자행전통경복자궁기류박제술위대조조,비교량조적수술시간、술중출혈량、술후항문배기시간、주원시간、잔류솔이급술후병발증발생정황。결과복강경하다발성자궁기류박제술평균수술시간장우대조조；술후항문배기시간、주원시간균단우대조조；술중출혈량소우대조조,경비교차이균유통계학의의(Z치분별위-13.603、-13.856、-14.519、-11.376,균P<0.05)。복강경하다발성자궁기류박제잔류솔초고(5.56%),량조비교차이무통계학의의(χ2=0.948,P=0.330)。량조술후절구유합불량、분강감염、자궁절구혈종、피하기종화정맥혈전병발증발생솔비교차이균무통계학의의(χ2치분별위1.308、1.265、0.203、1.685,균P>0.05)。결론복강경하다발성자궁기류박제가행、실용、림상효과호,시요구보류자궁환자유효、안전적치료방식지일。
Objective To investigate the clinical efficacy and value of laparoscopic multiple myomectomy. Methods From January 2012 to January 2014 280 cases with multiple myomata admitted in Jiangyin Peoples ’ Hospital were divided into observation group undergoing laparoscopic multiple myomectomy ( 180 cases ) and control group undergoing trans-abdominal multiple myomectomy ( 100 cases ) . Operating time, intraoperative bleeding volume, postoperative anal exhaust time, hospitalization length, residual tumor rate and postoperative complications were compared between two groups. Results In observation group surgery duration was longer than that in the control group, postoperative anal exhaust time and hospitalization duration were shorter, and intraoperative bleeding volumewas less. The differences were significant (Z value was -13. 603, -13. 856, -14. 519 and -11. 376, respectively, all P<0. 05). Residual tumor rate after laparoscopic multiple myomectomy was slightly higher (5. 56%), but the difference was not significant (χ2 =0. 948,P =0. 330). There were no significant differences in the incidence of postoperative bad healing of incision, pelvic infection, hematoma of uterine incision, subcutaneous emphysema and phlebothrombosis (χ2 value was 1. 308, 1. 265, 0. 203 and 1. 685, respectively, all P>0. 05). Conclusion Laparoscopic multiple myomectomy is feasible and practical with good clinical effect, and it is one of effective and safe treatment for patients needing to retain uterus.
