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目的 :观察不同手术方式子宫肌瘤切除术对妊娠结局的影响。方法 :回顾性分析2013年6月~2014年6月在我院接受子宫肌瘤切除术的120例患者的临床及随访资料,其中经腹腔镜切除者65例,采用开腹切除者55例,两组患者术后均给予为期1年的随访。比较两组患者围手术期一般情况、术后妊娠结局以及术后子宫瘢痕愈合、盆腔粘连情况。结果 :腹腔镜组患者出血量(86.28±8.86)ml,明显较开腹组少,住院时间为(4.21±1.05)天,明显较开腹组短,而两组患者手术时间无明显差别;两组患者术后发生盆腔粘连的情况存在显著差异:开腹组患者术后发生中、重度盆腔粘连的例数明显多于腹腔镜组,差异有统计学意义;腹腔镜组和开腹组患者术后自然妊娠率无明显差别,两组自然妊娠的患者中,流产、早产、正常分娩和剖宫产的例数无明显差别。结论 :虽然不同的手术方式对妊娠结局无明显影响,但腹腔镜下子宫肌瘤切除术创伤较开腹手术小,可缩短患者住院时间,且降低术后盆腔粘连的发生率,具有较高的临床应用价值。
Objective: To observe the different surgical methods of myomectomy on pregnancy outcome. Methods: The clinical and follow-up data of 120 patients who underwent myomectomy in our hospital from June 2013 to June 2014 were retrospectively analyzed. Among them, 65 patients underwent laparoscopic resection, 55 underwent open excision, Two groups of patients were given a one-year follow-up. Perioperative general conditions, postoperative pregnancy outcomes and postoperative uterine scar healing and pelvic adhesions were compared between the two groups. Results: The amount of bleeding in the laparoscopic group was (86.28 ± 8.86) ml, significantly less than that in the open group and (4.21 ± 1.05) days in the laparoscopic group, which was significantly shorter than that in the laparotomy group. There was no significant difference in the operation time between the two groups There were significant differences in postoperative pelvic adhesions between the two groups: the number of moderate and severe pelvic adhesions in the open group was significantly more than that in the laparoscopic group, the difference was statistically significant; laparoscopic group and laparotomy group After the natural pregnancy rate was no significant difference between the two groups of natural pregnancy patients, abortion, premature birth, normal delivery and cesarean section no significant difference in the number of cases. Conclusion: Although different surgical methods have no significant effect on pregnancy outcome, laparoscopic myomectomy is less invasive than open surgery, which can shorten the hospitalization time and reduce the incidence of postoperative pelvic adhesions, with a higher Clinical application value.