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目的:对腹腔镜子宫肌瘤切除术(LM)的临床效果进行评估。方法:回顾性分析我院48例子宫肌瘤患者的临床资料,依照手术方式的不同,随机分成评估组和对照组,评估组行腹腔镜子宫肌瘤切除术,对照组行开腹子宫肌瘤切除术,并将两组的妊娠状况、手术当中的出血量、手术与康复时间以及手术之后的复发情况观察与对比。结果:48例患者均成功治愈,无中转开腹的情况出现。在手术中的出血量以及手术时间上,两组差异不明显,不具有统计学意义(P>0.05);在住院和术后排气时间、手术之后的病率以及术后镇痛药使用率上,评估组显著优于对照组,差异具有统计学意义(P<0.05)。结论:在治疗子宫肌瘤上,腹腔镜子宫肌瘤切除术的治疗效果显著、住院时间短、有着较小的创伤性,安全无毒副作用,值得临床推广。
Objective: To evaluate the clinical effect of laparoscopic myomectomy (LM). Methods: The clinical data of 48 patients with uterine fibroids in our hospital were retrospectively analyzed. According to the different surgical methods, the patients were randomly divided into evaluation group and control group. Laparoscopic myomectomy group was performed in the evaluation group, Resection, and the pregnancy status of the two groups, the amount of bleeding during surgery, surgery and rehabilitation time and recurrence after surgery observed and compared. Results: All the 48 patients were successfully cured without conversion to laparotomy. There was no significant difference between the two groups in the amount of bleeding during operation and the operation time (P> 0.05). The differences in hospitalization and postoperative exhaust time, the incidence of postoperative operation and postoperative analgesic usage , The evaluation group was significantly better than the control group, the difference was statistically significant (P <0.05). Conclusion: In the treatment of uterine fibroids, laparoscopic myomectomy has significant therapeutic effect, short hospital stay, less invasiveness, safety and non-toxic side effects and is worthy of clinical promotion.