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目的探讨腹腔镜子宫肌瘤剔除术与传统开腹子宫肌瘤术治疗子宫肌瘤患者的临床效果。方法选取2015年1月至2016年1月东港市中心医院收治的110例子宫肌瘤患者作为研究对象,其中60例患者采用腹腔镜子宫肌瘤剔除术治疗,作为腹腔镜组,其余50例患者采用开腹子宫肌瘤术治疗,将其作为开腹组,比较两组患者相关临床手术指标、并发症发生情况和近期治疗效果。结果腹腔镜组患者手术时间、住院时间和术后肛门排气时间均明显短于开腹组,术中出血量明显少于开腹组,差异均有统计学意义(均P<0.05);腹腔镜组患者术后并发症发生率明显低于开腹组,差异有统计学意义(P<0.05);术后1~6个月回访,腹腔镜组与开腹组患者症状改善率、子宫异常及肌瘤复发发生率差异均无统计学意义(均P>0.05)。结论应用腹腔镜子宫肌瘤剔除术治疗子宫肌瘤临床效果显著,对患者造成的创伤小,出血量少,术后恢复更快。
Objective To investigate the clinical effects of laparoscopic myomectomy and traditional open laparoscopic myomectomy in patients with uterine fibroids. Methods A total of 110 cases of uterine leiomyoma treated in Donggang Central Hospital from January 2015 to January 2016 were selected as the study subjects, of whom 60 cases were treated by laparoscopic myomectomy. As the laparoscopic group, the remaining 50 cases Using open laparoscopic myomectomy treatment, as an open group, comparing the two groups of patients with clinical surgery indicators, complications and the recent treatment. Results The operation time, hospital stay and postoperative anal exhaust time in laparoscopic group were significantly shorter than those in open group. The bleeding volume in operation group was significantly less than that in laparotomy group (all P <0.05) The incidence of postoperative complications in the mirror group was significantly lower than that in the laparotomy group (P <0.05). The patients in the laparoscopic group and the laparotomy group were followed up 1 to 6 months after operation. The rate of improvement of symptoms, abnormal uterus And fibroid recurrence rate differences were not statistically significant (all P> 0.05). Conclusion Laparoscopic myomectomy for the treatment of uterine fibroids clinically significant results in patients with less trauma, less bleeding, postoperative recovery faster.