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目的观察腹式、阴式及腹腔镜子宫切除术治疗子宫肌瘤的手术相关情况及对卵巢功能的影响。方法选取该院收治的子宫肌瘤患者106例,根据患者肌瘤部位大小等情况,将患者分为腹式组38例、阴式组36例及腹腔镜组32例,腹式组患者采用腹式子宫切除术,阴式组患者采用阴式子宫切除术,腹腔镜组患者采用腹腔镜子宫切除术,比较不同治疗方案的手术相关情况及对患者卵巢功能的影响。结果腹腔镜组与阴式组在术后并发症发生率、住院时间、排气时间、术中出血量、手术时间均优于腹式组,差异均有统计学意义(P<0.05);而腹腔镜组与阴式组上述观察指标比较差异无统计学意义(P>0.05)。术前、术后3组患者LH、E_2、FSH比较差异均无统计学意义(P>0.05)。结论腹腔镜子宫切除术与阴式子宫切除术治疗子宫肌瘤患者整体效果优于腹式子宫切除术。
Objective To observe the surgical treatment of uterine leiomyoma by abdominal, vaginal and laparoscopic hysterectomy and its effect on ovarian function. Methods A total of 106 patients with uterine fibroids were enrolled in this hospital. According to the size and location of myoma, 38 patients were divided into abdominal group, 36 patients in vaginal group and 32 patients in laparoscopic group. Hysterectomy, vaginal hysterectomy patients, laparoscopic patients with laparoscopic hysterectomy, compared the different treatment options for surgery and ovarian function in patients with the impact. Results The incidence of postoperative complications, hospitalization time, exhaust time, intraoperative blood loss and operation time in laparoscopic group and vaginal group were all better than those in abdominal group (P <0.05). There was no significant difference in the above indexes between laparoscopic group and vaginal group (P> 0.05). There was no significant difference in LH, E_2 and FSH between the three groups before and after surgery (P> 0.05). Conclusion Laparoscopic hysterectomy and vaginal hysterectomy for the treatment of uterine fibroids overall effect is better than abdominal hysterectomy.