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目的探讨腹腔镜与开腹手术剔除治疗有妊娠需求多发子宫肌瘤患者的疗效。方法 100例有妊娠需求的多发子宫肌瘤患者,随机分为观察组与对照组,各50例。观察组患者给予腹腔镜手术治疗,对照组患者给予开腹手术治疗。比较两组术中出血量、手术时间、术后排气时间、住院时间、术后妊娠率。结果观察组患者术中出血量少于对照组、术后排气时间及住院时间短于对照组,差异均具有统计学意义(t=3.521、4.202、4.602,P<0.05);两组患者手术时间比较,差异无统计学意义(t=1.062,P>0.05)。观察组术后妊娠率为64%,对照组术后妊娠率为66%,比较差异无统计学意义(χ~2=0.044,P>0.05)。结论腹腔镜手术治疗有妊娠需求多发子宫肌瘤创伤较小,患者康复快,且术后妊娠率与开腹手术基本一致。
Objective To investigate the efficacy of laparoscopic and open surgery in the treatment of patients with multiple uterine fibroids requiring pregnancy. Methods 100 cases of multiple uterine fibroids with pregnancy needs were randomly divided into observation group and control group, 50 cases each. Patients in the observation group were treated with laparoscopic surgery and patients in the control group were treated with laparotomy. The blood loss, operation time, postoperative exhaust time, hospitalization time and postoperative pregnancy rate were compared between the two groups. Results The bleeding volume of the observation group was less than that of the control group, and the duration of postoperative exhaust and hospital stay was shorter than that of the control group (t = 3.521, 4.202, 4.602, P <0.05) There was no significant difference in time (t = 1.062, P> 0.05). The postoperative pregnancy rate was 64% in the observation group and 66% in the control group after operation, with no significant difference (χ ~ 2 = 0.044, P> 0.05). Conclusions Laparoscopic surgery has many traumatic demands for uterine fibroids less trauma, rapid recovery of patients, and postoperative pregnancy rate and laparotomy are basically the same.