腹腔镜下子宫肌瘤剔除术治疗子宫肌瘤的临床观察(1)
摘 要：目的 探讨腹腔镜下子宫肌瘤剔除术治疗子宫肌瘤的临床效果。方法 选取2016年1月～12月我院收治的子宫肌瘤患者60例为研究对象，根据手术方法将患者分为对照组和观察组，每组30例。对照组患者接受开腹手术治疗，观察组患者接受腹腔镜下子宫肌瘤剔除术治疗。比较两组患者手术情况、术后恢复情况及术后并发症发生情况。结果 观察组患者手术时间、术中出血量、术后胃肠功能恢复时间和住院时间均优于对照组，差异均有统计学意义(P<0.05)；观察组术后并发症发生率为6.67%，低于对照组的30.00%，差异有统计学意义(P<0.05)。结论 腹腔镜下子宫肌瘤剔除术治疗子宫肌瘤的临床效果显著，且术后并发症少，值得在临床推广应用。
关键词：子宫肌瘤；腹腔镜子宫肌瘤剔除术；临床疗效；安全性
中图分类号：R737.33 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.07.037
, 百拇医药 文章编号：1006-1959(2018)07-0112-03
Clinical Observation of Hysteromyoma Removal by Laparoscopy in the Treatment of Hysteromyoma
RUAN Qiong-fang，ZHONG Gui-ying
(Department of Gynecology，Chengdu Xindu West Bridge Hospital，Chengdu 610500，Sichuan，China)
Abstract：Objective To investigate the clinical effect of laparoscopic hysteromyomectomy in the treatment of uterine leiomyoma.Methods From January to December 2016，60 patients with uterine leiomyoma were divided into control group and observation group， 30 cases in each group.The patients in the control group were treated with laparotomy，and the patients in the observation group were treated with hysteromyomectomy under laparoscope.The operation，postoperative recovery and postoperative complications were compared between the two groups.Results The time of operation，the amount of blood lost during operation，the time of recovery of gastrointestinal function and the time of hospitalization in the observation group were better than those in the control group，the differences were statistically significant(P<0.05)；the complication rate was 6.67% after operation in the observation group，30.00% lower than the control group，the difference was statistically significant(P<0.05).Conclusion Laparoscopic myomectomy for hysteromyoma has a significant clinical effect in the treatment of hysteromyoma，and the postoperative complications are less.It is worthy of clinical application.
, 百拇医药
Key words：Hysteromyoma；Laparoscopic hysteromyomectomy；Clinical curative effect；Security
子宮肌瘤(hysteromyoma)是一种女性良性肿瘤，在临床上具有较高的发病率。目前临床上对子宫肌瘤进行治疗所采取的主要方法为手术治疗[1]。腹腔镜下子宫肌瘤剔除术的开展，不但可使子宫肌瘤患者的盆底解剖结构得以完整保留，使其子宫所具备的生理功能得以维持，同时其对患者机体造成的损伤相较于子宫切除术明显更小，因此使得其逐渐受到子宫肌瘤患者的青睐，使其在临床上的应用率不断提高[2，3]。本次研究回顾性分析了2016年1月～12月我院收治的经腹腔镜下子宫肌瘤剔除术和传统开腹手术治疗治疗的60例子宫肌瘤患者的临床资料，比较了两种不同手术治疗子宫肌瘤的临床效果，现报告如下。
1资料与方法
1.1一般资料 所有60例研究对象均为成都新都西桥医院2016年1月～12月收治的经临床诊断确诊为子宫肌瘤的患者。本研究经医院伦理会批准通过。根据手术方法的不同将患者分为对照组和观察组，每组30例。对照组患者年龄21～63岁，平均年龄(35.30±5.21)岁；病程1～8个月，平均病程(3.21±1.33)个月；肌瘤直径3～8 cm，平均直径(6.12±2.71)cm。观察组患者年龄20～61岁，平均年龄(34.81±5.02)岁；病程1～7个月，平均病程(3.10±1.73)个月；肌瘤直径3～9 cm，平均直径(6.31±2.12)cm。两组患者的年龄、病程、肌瘤直径等基线资料相比，差异无统计学意义(P>0.05)，具有可比性。, 百拇医药(阮琼芳 钟桂英)
关键词：子宫肌瘤；腹腔镜子宫肌瘤剔除术；临床疗效；安全性
中图分类号：R737.33 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.07.037
, 百拇医药 文章编号：1006-1959(2018)07-0112-03
Clinical Observation of Hysteromyoma Removal by Laparoscopy in the Treatment of Hysteromyoma
RUAN Qiong-fang，ZHONG Gui-ying
(Department of Gynecology，Chengdu Xindu West Bridge Hospital，Chengdu 610500，Sichuan，China)
Abstract：Objective To investigate the clinical effect of laparoscopic hysteromyomectomy in the treatment of uterine leiomyoma.Methods From January to December 2016，60 patients with uterine leiomyoma were divided into control group and observation group， 30 cases in each group.The patients in the control group were treated with laparotomy，and the patients in the observation group were treated with hysteromyomectomy under laparoscope.The operation，postoperative recovery and postoperative complications were compared between the two groups.Results The time of operation，the amount of blood lost during operation，the time of recovery of gastrointestinal function and the time of hospitalization in the observation group were better than those in the control group，the differences were statistically significant(P<0.05)；the complication rate was 6.67% after operation in the observation group，30.00% lower than the control group，the difference was statistically significant(P<0.05).Conclusion Laparoscopic myomectomy for hysteromyoma has a significant clinical effect in the treatment of hysteromyoma，and the postoperative complications are less.It is worthy of clinical application.
, 百拇医药
Key words：Hysteromyoma；Laparoscopic hysteromyomectomy；Clinical curative effect；Security
子宮肌瘤(hysteromyoma)是一种女性良性肿瘤，在临床上具有较高的发病率。目前临床上对子宫肌瘤进行治疗所采取的主要方法为手术治疗[1]。腹腔镜下子宫肌瘤剔除术的开展，不但可使子宫肌瘤患者的盆底解剖结构得以完整保留，使其子宫所具备的生理功能得以维持，同时其对患者机体造成的损伤相较于子宫切除术明显更小，因此使得其逐渐受到子宫肌瘤患者的青睐，使其在临床上的应用率不断提高[2，3]。本次研究回顾性分析了2016年1月～12月我院收治的经腹腔镜下子宫肌瘤剔除术和传统开腹手术治疗治疗的60例子宫肌瘤患者的临床资料，比较了两种不同手术治疗子宫肌瘤的临床效果，现报告如下。
1资料与方法
1.1一般资料 所有60例研究对象均为成都新都西桥医院2016年1月～12月收治的经临床诊断确诊为子宫肌瘤的患者。本研究经医院伦理会批准通过。根据手术方法的不同将患者分为对照组和观察组，每组30例。对照组患者年龄21～63岁，平均年龄(35.30±5.21)岁；病程1～8个月，平均病程(3.21±1.33)个月；肌瘤直径3～8 cm，平均直径(6.12±2.71)cm。观察组患者年龄20～61岁，平均年龄(34.81±5.02)岁；病程1～7个月，平均病程(3.10±1.73)个月；肌瘤直径3～9 cm，平均直径(6.31±2.12)cm。两组患者的年龄、病程、肌瘤直径等基线资料相比，差异无统计学意义(P>0.05)，具有可比性。, 百拇医药(阮琼芳 钟桂英)