中外医疗
中外醫療
중외의료
China Foreign Medical Treatment
2015年
27期
59-61
,共3页
子宫肌瘤%腹腔镜%开腹手术
子宮肌瘤%腹腔鏡%開腹手術
자궁기류%복강경%개복수술
Uterine fibroids%Laparoscope%Open operation
目的 探讨腹腔镜子宫肌瘤切除术的治疗效果及临床应用价值. 方法 整群选择该院2013年2月-2014年2月间收治的76例子宫肌瘤患者为研究对象,随机分为对照组38例,实施传统开腹子宫肌瘤切除术治疗,观察组38例,实施腹腔镜子宫肌瘤切除术治疗,对两组患者手术情况及术后恢复情况进行分析. 结果 观察组术手术时间较对照组长,但是术中出血量较低,术后排气时间及住院时间明显较对照组短,差异有统计学意义(P<0.05);观察组术后出现切口感染、盆腔粘连、切口红肿等并发症发生率为10.53%,较对照组26.32%低,差异有统计学意义(P<0.05),观察组术后妊娠率为84.21%,明显较对照组55.26%高(P<0.05). 结论 子宫肌瘤采取腹腔镜子宫肌瘤切除术的创伤较小,并发症较少,可利于术后快速恢复,减少患者痛苦,提高术后妊娠率,值得推广.
目的 探討腹腔鏡子宮肌瘤切除術的治療效果及臨床應用價值. 方法 整群選擇該院2013年2月-2014年2月間收治的76例子宮肌瘤患者為研究對象,隨機分為對照組38例,實施傳統開腹子宮肌瘤切除術治療,觀察組38例,實施腹腔鏡子宮肌瘤切除術治療,對兩組患者手術情況及術後恢複情況進行分析. 結果 觀察組術手術時間較對照組長,但是術中齣血量較低,術後排氣時間及住院時間明顯較對照組短,差異有統計學意義(P<0.05);觀察組術後齣現切口感染、盆腔粘連、切口紅腫等併髮癥髮生率為10.53%,較對照組26.32%低,差異有統計學意義(P<0.05),觀察組術後妊娠率為84.21%,明顯較對照組55.26%高(P<0.05). 結論 子宮肌瘤採取腹腔鏡子宮肌瘤切除術的創傷較小,併髮癥較少,可利于術後快速恢複,減少患者痛苦,提高術後妊娠率,值得推廣.
목적 탐토복강경자궁기류절제술적치료효과급림상응용개치. 방법 정군선택해원2013년2월-2014년2월간수치적76례자궁기류환자위연구대상,수궤분위대조조38례,실시전통개복자궁기류절제술치료,관찰조38례,실시복강경자궁기류절제술치료,대량조환자수술정황급술후회복정황진행분석. 결과 관찰조술수술시간교대조조장,단시술중출혈량교저,술후배기시간급주원시간명현교대조조단,차이유통계학의의(P<0.05);관찰조술후출현절구감염、분강점련、절구홍종등병발증발생솔위10.53%,교대조조26.32%저,차이유통계학의의(P<0.05),관찰조술후임신솔위84.21%,명현교대조조55.26%고(P<0.05). 결론 자궁기류채취복강경자궁기류절제술적창상교소,병발증교소,가리우술후쾌속회복,감소환자통고,제고술후임신솔,치득추엄.
Objective To study the therapeutic effect and clinical value of laparoscopic myomectomy. Methods 76 patients with u-terine fibroids admitted to this hospital between February 2013 and February 2014 were randomized to undergo traditional open surgery (the control group, n=38) and laparoscopic myomectomy (the observation group,n=38). We analyzed the operation and post-operative recovery of the two groups. Results The operation duration was longer, but the intraoperative blood loss and postoperative exhaust time and hospital stay were shorter in the observation group than in the control group, and the differences were statistically significant, P<0.05; the rate of complications including incision infection, pelvic adhesion, incision inflammation (10.53% vs 26.32%) was lower in the observation group than in the control group, and the difference was statistically significant, P<0.05; the postoperative pregnancy rate (84.21% vs 55.26%) was significant higher in the observation group than in the control group with statistical difference, P<0.05. Conclusions With less trauma and complications, laparoscopic myomectomy in the treatment of uter-ine fibroids is conducive to rapid postoperative recovery and can reduce the patients' pain and improve pregnancy rate, therefore it is worthy of promotion.
