经腹腔镜与经腹子宫肌瘤剔除术的综合评价对比研究

摘要

目的：对分别采用经腹腔镜手术和经腹手术进行治疗的子宫肌瘤患者，比较两种手术方式治疗后患者的手术情况与康复结局的差异。方法：纳入2012年1月－2013年7月在我院确诊为子宫肌瘤并行子宫肌瘤剔除手术的患者，符合入排标准共316例。将所有的患者按照所采用的手术方式不同分为LM组（经腹腔镜子宫肌瘤剔除术，laparoscopic myomectomy，144例）和 TAM组（经腹子宫肌瘤剔除术，transabdominal myo-mectomy，172例）。结果：从手术情况和术后患者的康复情况来看，LM均优于TAM。LM组患者在术中出血量、并发症与不良事件、住院天数、切口VAS评分和术后SF－36评分等各方面均明显优于TAM组患者（P＜0．05），仅有手术时间长于TAM组。结论：LM组患者的综合评价显著优于TAM。一般情况下，目前临床治疗子宫肌瘤可以优先考虑LM法。%Objective:To compare the two surgical treatments on patients with uterine fibroids who used TAM and LM,and the difference of rehabilitation between the two groups.Methods:From January 2012 to July 2013,the pa-tients who diagnosed with uterine fibroids and received TCRMsurgery,a total of 316 cases line with inclusion/exclu-sion criteria according to the difference of surgical approaches,all of the patients were divided into two groups:LM group (laparoscopic myomectomy,144 cases)and TAM group (abdominal myomectomy,172 cases).Results:Con-sidered the surgical cases and postoperative rehabilitation of the patients,LM are superior to TAM in both aspects.LM patients were significantly better than TAM patients in blood loss,complications and adverse events,length of hospital stay,postoperative VAS score of incision and SF-36 scores (P<0.05 ),but the operative time of LM group is lon-ger.Conclusion:Comprehensive evaluation of the LM group were significantly superior to TAM,LM is clinically pre-ferred method in treating uterine fibroids,and worthy of promotion.