中外医疗
中外醫療
중외의료
China Foreign Medical Treatment
2015年
27期
30-31
,共2页
子宫壁间肌瘤%宫腔镜%腹腔镜%外科手术
子宮壁間肌瘤%宮腔鏡%腹腔鏡%外科手術
자궁벽간기류%궁강경%복강경%외과수술
Intramural uterine fibroid%Hysteroscope%Laparoscope%Surgery
目的 对比分析宫腔镜和腹腔镜手术剔除子宫壁间肌瘤的临床效果. 方法 整群选取该院2013年3月-2015年4月收治的314例需要剔除子宫壁间肌瘤患者作为研究对象,其中腹腔镜组196例,宫腔镜组118例,分别行腹腔镜下子宫肌瘤剔除术和对应的宫腔镜下子宫肌瘤电切术,并比较两组术后的各项指标就总体疗效. 结果 根据该院的统计分析看来,在术中出血量、平均手术时间及血红蛋白减低程度方面的对比显示,宫腔镜组均少于腹腔镜组(P<0.05);此外,在术中转开腹率、术后月经改善率和发热率方面,两组的对比差异无统计学意义(P>0.05);经该院后续对168例腹腔镜组患者及90例宫腔镜组患者随访发现,在对应的1、3、6个月的肌层完全愈合率方面,两组对比差异无统计学意义(P=0.709,χ2=0.139). 术后妊娠患者均未出现妊娠期子宫破裂的情况. 结论 对于子宫壁间肌瘤患者的治疗而言,宫腔镜和腹腔镜手术均安全可靠,相比之下,宫腔镜下子宫肌瘤电切术术中出血少,接受治疗的患者能在很短时间内恢复,该院还发现对有生育要求的患者而言,显然宫腔镜下子宫肌瘤电切术更优.
目的 對比分析宮腔鏡和腹腔鏡手術剔除子宮壁間肌瘤的臨床效果. 方法 整群選取該院2013年3月-2015年4月收治的314例需要剔除子宮壁間肌瘤患者作為研究對象,其中腹腔鏡組196例,宮腔鏡組118例,分彆行腹腔鏡下子宮肌瘤剔除術和對應的宮腔鏡下子宮肌瘤電切術,併比較兩組術後的各項指標就總體療效. 結果 根據該院的統計分析看來,在術中齣血量、平均手術時間及血紅蛋白減低程度方麵的對比顯示,宮腔鏡組均少于腹腔鏡組(P<0.05);此外,在術中轉開腹率、術後月經改善率和髮熱率方麵,兩組的對比差異無統計學意義(P>0.05);經該院後續對168例腹腔鏡組患者及90例宮腔鏡組患者隨訪髮現,在對應的1、3、6箇月的肌層完全愈閤率方麵,兩組對比差異無統計學意義(P=0.709,χ2=0.139). 術後妊娠患者均未齣現妊娠期子宮破裂的情況. 結論 對于子宮壁間肌瘤患者的治療而言,宮腔鏡和腹腔鏡手術均安全可靠,相比之下,宮腔鏡下子宮肌瘤電切術術中齣血少,接受治療的患者能在很短時間內恢複,該院還髮現對有生育要求的患者而言,顯然宮腔鏡下子宮肌瘤電切術更優.
목적 대비분석궁강경화복강경수술척제자궁벽간기류적림상효과. 방법 정군선취해원2013년3월-2015년4월수치적314례수요척제자궁벽간기류환자작위연구대상,기중복강경조196례,궁강경조118례,분별행복강경하자궁기류척제술화대응적궁강경하자궁기류전절술,병비교량조술후적각항지표취총체료효. 결과 근거해원적통계분석간래,재술중출혈량、평균수술시간급혈홍단백감저정도방면적대비현시,궁강경조균소우복강경조(P<0.05);차외,재술중전개복솔、술후월경개선솔화발열솔방면,량조적대비차이무통계학의의(P>0.05);경해원후속대168례복강경조환자급90례궁강경조환자수방발현,재대응적1、3、6개월적기층완전유합솔방면,량조대비차이무통계학의의(P=0.709,χ2=0.139). 술후임신환자균미출현임신기자궁파렬적정황. 결론 대우자궁벽간기류환자적치료이언,궁강경화복강경수술균안전가고,상비지하,궁강경하자궁기류전절술술중출혈소,접수치료적환자능재흔단시간내회복,해원환발현대유생육요구적환자이언,현연궁강경하자궁기류전절술경우.
Objective To compare and analyze the clinical effect between hysteroscopic and laparoscopic myomectomy. Methods 314 cases underwent myomectomy in our hospital from March 2013 to April 2015 were selected as the subjects and divided into the laparoscopic group(196 cases) and hysteroscopic group(118 cases). Patients in the laparoscopic group were given laparoscopic myomectomy, while those in the hysteroscopic group were given hysteroscopic myomectomy. And the postoperative indexes and overall response rate were compared between the two groups. Results The result of statistical analysis of our hospital showed that, compared with the laparoscopic group, the hysteroscopic group had less intraoperative blood loss, shorter average duration of oper-ation and less reduction in the level of hemoglobin(P<0.05). The differences in intraoperative transferring to laparotomy, postopera-tive improvement in menstruation and incidence of fever between the two groups were not statistically significant (P>0.05). The fol-low-up of the 168 cases in the laparoscopic group and 90 cases in the hysteroscopic group showed that, the differences in the 1-month, 3-month and 6-month complete healing rate of muscle layer between the two groups were not statistically significant ( P=0.709, χ2=0.139). No uterine rupture during pregnancy occurred in the patients who had pregnancy after surgery. Conclusion For patients with intramural uterine fibroid, both hysteroscopic and laparoscopic myomectomy are safe and reliable, but hysteroscopic myomectomy has less intraoperative blood loss and quicker recovery, so it is better for those patients with fertility requirement found by our hospital.
