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目的比较腹腔镜子宫肌瘤剔除术(LM)和腹腔镜子宫切除术(LH)用于治疗症状性子宫肌瘤的短期并发症发病率和生活质量。方法通过前瞻性,观察性研究明确手术对象。参加研究的病例完全知情同意,每个参与者都被要求完成SF-12健康的调查在手术前、术后7d和手术后28d。详细记录术后4周内并发症的发病率、手术时间、出血量、住院天数等相关数据。进行统计分析。结果共有70例患者参与本次研究,其中包括40例接受LM和30例LH。LH组手术时间为(209.93±14.56)min比LM组(161.90±12.20)min稍长,差异有统计学意义(P<0.05)。然而,没有发现二者之间SF-12评分、住院时间及短期并发症等差异有统计学意义(P>0.05)。结论子宫肌瘤患者想要保守性手术治疗,LM是可行的选择。二种手术的短期并发症发病率和对生活质量的影响没有明显差别。
Objective To compare the incidence of short-term complications and quality of life for laparoscopic myomectomy (LM) and laparoscopic hysterectomy (LH) for the treatment of symptomatic uterine fibroids. Methods Through prospective, observational studies to identify the surgical object. Participants were fully informed of the informed consent and each participant was asked to complete a survey of SF-12 health before surgery, 7 days after surgery and 28 days after surgery. Detailed records of the incidence of postoperative complications within 4 weeks, operation time, blood loss, hospitalization days and other related data. conduct statistical analysis. Results A total of 70 patients participated in this study, including 40 patients receiving LM and 30 patients with LH. The operation time of LH group was (209.93 ± 14.56) min longer than that of LM group (161.90 ± 12.20) min, the difference was statistically significant (P <0.05). However, no significant difference was found between SF-12 score, length of hospital stay, and short-term complications (P> 0.05). Conclusion Uterine fibroids want conservative surgery, LM is a viable option. There was no significant difference in the incidence of short-term complications and quality of life in both types of surgery.