楊彩霞　陳秀華　聶義　于凌翔　劉念　劉晶

【摘要】 目的 觀察腹腔鏡下子宮肌瘤剔除術(shù)對(duì)子宮肌瘤治療的臨床價(jià)值及優(yōu)越性。方法 100例

子宮肌瘤患者為研究對(duì)象， 按手術(shù)方式不同分為對(duì)照組及觀察組， 各50例。對(duì)照組給予開(kāi)腹手術(shù)治療， 觀察組給予腹腔鏡下子宮肌瘤剔除術(shù)治療。比較兩組患者術(shù)中及術(shù)后相關(guān)指標(biāo)， 包括手術(shù)出血量、手術(shù)時(shí)間、術(shù)后住院時(shí)間、術(shù)后排氣時(shí)間、切口甲級(jí)愈合情況;比較兩組患者術(shù)后并發(fā)癥發(fā)生情況。結(jié)果 觀察組手術(shù)出血量為（89.2±7.1）ml;少于對(duì)照組的（123.1±9.2）ml;觀察組手術(shù)時(shí)間為（78.1±9.8）min、術(shù)后住院時(shí)間為（6.0±0.5）d、術(shù)后排氣時(shí)間為（20.1±4.2）h， 均短于對(duì)照組的（113.3±10.5）min、（7.7±0.8）d、（39.7±3.4）h， 差異均具有統(tǒng)計(jì)學(xué)意義 （P<0.05）。兩組切口甲級(jí)愈合率比較， 差異無(wú)統(tǒng)計(jì)學(xué)意義（P>0.05）。觀察組術(shù)后并發(fā)癥發(fā)生率為4.0%， 低于對(duì)照組的16.0%， 差異具有統(tǒng)計(jì)學(xué)意義 （P<0.05）。結(jié)論 對(duì)于子宮肌瘤患者， 腹腔鏡下子宮肌瘤剔除術(shù)臨床效果顯著， 同時(shí)術(shù)后并發(fā)癥少， 作為一種微創(chuàng)手術(shù)， 值得臨床推廣。

【關(guān)鍵詞】 子宮肌瘤;腹腔鏡下子宮肌瘤剔除術(shù);開(kāi)腹手術(shù);并發(fā)癥

DOI：10.14163/j.cnki.11-5547/r.2019.18.004

Clinical value and superiority of laparoscopic myomectomy? ?YANG Cai-xia， CHEN Xiu-hua， NIE Yi， et al. Department of Obstetrics and Gynecology， Qitai Hospital of the Sixth Division of Xinjiang Corps， Qitai 831800， China

【Abstract】 Objective? ?To observe the clinical value and superiority of laparoscopic myomectomy. Methods? ?A total of 100 uterine fibroids patients were divided by different surgical methods into control group and observation group， with 50 cases in each group. The control group received open surgery， and the observation group received laparoscopic myomectomy. Comparison were made on intraoperative and postoperative related indicators， including bleeding volume， operation time， postoperative hospitalization time， postoperative exhaust time， invasive grade A healing， and occurrence of postoperative complications between the two groups. Results? ?The observation group had less surgical bleeding volume as （89.2±7.1） ml than （123.1±9.2） ml in the control group， shorter operation time as （78.1±9.8） min， postoperative hospitalization time as（6.0±0.5） d， postoperative exhaust time as （20.1±4.2） h than （113.3±10.5） min， （7.7±0.8） d and （39.7±3.4） h in the control group. Their difference was statistically significant （P<0.05）. Both groups had no statistically significant difference in invasive grade A healing rate （P>0.05）. The observation group had lower incidence of postoperative complications as 4.0% than 16.0% in the control group， and the difference was statistically significant （P<0.05）. Conclusion? ?Laparoscopic myomectomy shows remarkable clinical effect for patients with uterine fibroids . It provides fewer postoperative complications and is worthy of clinical promotion as a invasive surgery.

【Key words】 Uterine fibroids; Laparoscopic myomectomy; Open surgery; Complications