论文部分内容阅读
目的观察腹腔镜与开腹手术治疗子宫肌瘤对患者术后妊娠的影响。方法选取医院收治的84例子宫肌瘤,按术式分为对照组35例和观察组49例。对照组采用开腹手术,观察组在腹腔镜下进行子宫肌瘤剔除术。比较2组手术效果及术后妊娠情况。结果观察组术中出血量、术后肌瘤残留率、术后并发症发生率均低于对照组,差异有统计学意义(P<0.05或P<0.01);但2组术后妊娠率、术后妊娠间隔时间、自然流产率、足月妊娠率比较差异无统计学意义(P>0.05)。结论开腹或腹腔镜下切除肌瘤后对妊娠情况的影响均无显著差异,但腹腔镜下肌瘤切除术术中出血量更少,术后肌瘤残留率更低。
Objective To observe the effect of laparoscopy and laparotomy on uterine fibroids in patients with postoperative pregnancy. Methods Totally 84 cases of uterine leiomyomas admitted to hospital were divided into control group (35 cases) and observation group (49 cases). The control group was operated on by laparotomy, and the observation group underwent laparoscopic myomectomy. The operative effects and postoperative pregnancy were compared between the two groups. Results The intraoperative blood loss, residual fibroids and the incidence of postoperative complications in the observation group were significantly lower than those in the control group (P <0.05 or P <0.01). However, the postoperative pregnancy rate, Postoperative pregnancy interval, spontaneous abortion rate, full-term pregnancy rate was no significant difference (P> 0.05). Conclusions There is no significant difference in the pregnancy status after laparotomy or laparoscopic resection of myoma, but less bleeding during laparoscopic myomectomy and lower postoperative fibroid residual rate.