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目的探究子宫肌瘤开腹手术治疗的临床治疗效果及预后情况。方法选择我院2013年1月~2015年12月收治的68例子宫肌瘤患者,所有患者均给予开腹手术治疗,观察68例患者的手术类型,手术时间、术中出血量,术后排气时间、住院时间、并发症及子宫肌瘤复发情况。结果不同开腹手术治疗的手术时间、术中出血量对比,差异有统计学意义(P<0.05);在术后排气时间、住院时间、并发症方面对比,差异无统计学意义(P>0.05);行子宫全切术患者的肌瘤复发率低于其他手术治疗的患者,差异有统计学意义(P<0.05)。结论在子宫肌瘤患者的开腹手术治疗中要根据肌瘤的部位、大小、个数和盆腔黏连情况选择适宜的手术方式,尽可能保留子宫、盆底机构及阴道的完整性,严格遵守开腹手术的禁忌证和适应症,指导患者术后定期复查筛查宫颈癌变,降低临床复发率。
Objective To investigate the clinical effect and prognosis of open surgery of uterine fibroids. Methods A total of 68 patients with uterine fibroids who were treated in our hospital from January 2013 to December 2015 were enrolled in this study. All patients underwent open surgery. The operation type, operation time, intraoperative blood loss, Gas time, hospital stay, complications and recurrence of uterine fibroids. Results The operative time and intraoperative blood loss were significantly different between the two groups (P <0.05). There was no significant difference in postoperative exhaust time, hospitalization time and complication (P> 0.05). The recurrence rate of fibroids in hysterectomy patients was lower than that of other surgical patients (P <0.05). Conclusion In the treatment of open surgery of uterine fibroids, according to the location of fibroids, size, number and pelvic adhesions to select the appropriate surgical approach, as far as possible to retain the integrity of the uterus, pelvic floor and vagina, strictly abide by Contraindications and indications for laparotomy, and guide patients to review regularly for cervical cancer after surgery to reduce the clinical recurrence rate.