开腹和腹腔镜治疗子宫肌瘤的临床疗效及安全性分析

摘要

Objective:To analyze the clinical efficacy and safety of open and laparoscopic treatment in the treatment of uterine fibroid.Method:100 uterine fibroid patients in our hospital from January 2013 to January 2015 were selected and randomly divided into the experiment group and the control group.50 patients in the control group were treated with traditional open surgical of uterine fibroid,50 patients in the experiment group were treated with laparoscopic myomectomy therapy.The operation time,intraoperative blood loss,anal exhaust for the first time,hospital stays,incidence rate of postoperative complications and short-term effect were analyzed and compared between the two groups.Result:The operation time,intraoperative blood loss,anal exhaust for the first time,hospital stays and incidence rate of postoperative complications in the experiment group were better than those in the control group,the differences were statistically significant(P<0.05).The differences inpostoperative remission rate,relapse rate of uterine fibroid and abnormal uterine rate between the two groups were not statistically significant(P>0.05).Conclusion:As a minimally invasive surgery,laparoscopic myomectomy has the advantages of less invasive,rapid postoperative recovery,low incidence of complications,which is worthy of clinical promotion and application.%目的：分析开腹和腹腔镜治疗子宫肌瘤的临床疗效和安全性。方法：选择本院2013年1月-2015年1月收治的子宫肌瘤患者100例作为研究对象，将其采用随机数字表法分成试验组和对照组，每组50例，对照组给予传统开腹子宫肌瘤剔除术治疗，试验组给予腹腔镜子宫肌瘤剔除术治疗；分析比较两组的手术时间、术中出血量、肛门首次排气时间、住院时间、术后并发症发生率及近期疗效。结果：试验组的手术时间、术中出血量、肛门首次排气时间、住院时间均优于对照组，比较差异均有统计学意义（P<0.05）；试验组的并发症发生率优于对照组，比较差异有统计学意义（P<0.05）；两组术后症状缓解率、子宫肌瘤复发率和子宫异常率比较，差异均无统计学意义（P>0.05）。结论：腹腔镜子宫肌瘤剔除术作为微创手术，创伤小、术后恢复快、术后并发症发生率低，值得临床推广和应用。