论文部分内容阅读
目的观察不同的手术方法治疗子宫肌瘤伴不孕症的临床效果并分析其临床应用价值。方法选取2012年1月-2015年1月在该院住院治疗的子宫肌瘤伴不孕症患者145例为研究对象。随机分为实验组(75例)和对照组(70例),实验组患者采取宫腔镜子宫肌瘤电切术,对照组患者采取常规开腹手术。观察两组患者治疗后临床疗效、妊娠率、不良反应发生率以及手术中各项指标的差异。结果两组患者的临床有效率、妊娠率及不良反应发生率比较,差异均有统计学意义(P均<0.05)。实验组患者手术时间、出血量及术后肛门排气时间均明显小于对照组患者,差异有统计学意义(P<0.05)。结论宫腔镜子宫肌瘤电切术治疗子宫肌瘤伴不孕症的疗效显著,可明显提高妊娠率,降低术后不良反应的发生率,节省手术时间,减少出血量,具有一定的临床应用价值。
Objective To observe the clinical effects of different surgical methods in the treatment of uterine fibroids with infertility and to analyze its clinical value. Methods From January 2012 to January 2015, 145 cases of uterine fibroids with infertility hospitalized in this hospital were selected as the research object. Randomly divided into experimental group (75 cases) and control group (70 cases), the experimental group patients with hysteroscopic uterine fibroids resection, the control group patients to take conventional laparotomy. The clinical efficacy, pregnancy rate, the incidence of adverse reactions and the differences of various indexes in the two groups were observed after treatment. Results The clinical efficiency, pregnancy rate and incidence of adverse reactions in both groups were significantly different (all P <0.05). The operation time, bleeding volume and postoperative anal exhaust time in the experimental group were significantly less than those in the control group, the difference was statistically significant (P <0.05). Conclusion Hysteroscopic uterine fibroids resection of uterine fibroids with infertility treatment significantly, can significantly improve the pregnancy rate, reduce the incidence of postoperative adverse reactions, save the operation time and reduce the amount of bleeding, has a certain clinical application value.