腹腔镜与开腹手术治疗子宫肌瘤的临床疗效对比(1)
[摘要]目的 对比分析子宫肌瘤采取腹腔镜与开腹手术治疗的临床疗效。 方法 选取我院2012年1月～2014年7月接诊的子宫肌瘤患者82例作为研究对象，随机分为研究组与对照组，各41例。对照组患者采取传统开腹手术治疗，而研究组患者采取腹腔镜手术治疗，两组患者皆予以1年随访，观察两组患者手术时间、术中出血量、肛门恢复排气时间、住院时间、术后并发症、总有效率及随访复发率情况，并对比分析。 结果 研究组术中出血量明显少于对照组，肛门恢复排气时间与住院时间均明显短于对照组，同时术后并发症明显低于对照组，总有效率明显高于对照组，组间对比差异均有统计学意义(P<0.05或0.01);两组患者在手术时间、术后随访复发率上对比，差异无统计学意义(P>0.05)。 结论 子宫肌瘤患者采取腹腔镜手术治疗，效果明显优于开腹手术治疗，同时术中出血少，而且并发症更少、安全性更高，值得借鉴。
[关键词]子宫肌瘤;腹腔镜;开腹手术
[中图分类号] R737.33 [文献标识码] B [文章编号] 2095-0616(2015)02-70-03
Clinical comparative study of laparoscopy and open surgery treatment of hysteromyoma
SUN Xiuping
Department of Obstetrics and Gynecology， Zhangjiagang Hospital of Traditional Chinese Medicine， Zhangjiagang 215600， China
[Abstract] Objective To analyze the clinical effect of laparoscopy in the treatment of hysteromyoma compared with open surgery. Methods 82 cases with hysteromyoma who were admitted in our hospital from January 2012 to July 2014 were randomly divided into study group and control group with 41 cases in each group. Patients were cure by open surgery in control group， while cure by laparoscopy in study group. In 1 year follow-up， to observe， record and analyze comparatively the operation time， the intraoperative blood loss， the recovery flatus time， the hospitalization time， the postoperative complications， the total effective rate and the recurrence rate of follow-up of the two group. Results The intraoperative blood loss， the recovery flatus time and the hospitalization time were lower while the total effective rate was higher in study group compared with control group， there were significant differences between each other(P<0.05 or P<0.01). The operation time and the recurrence rate of follow-up had no statistical significance between the two group(P>0.05). Conclusion Laparoscopy in the treatment of hysteromyoma which has less blood loss， fewer complications， higher safety，and is worthy of reference compared with open surger.
[Key words] Hysteromyoma; Laparoscopy; Open surgery
子宫肌瘤属于女性常见疾病，发病原因主要在于不成熟子宫平滑肌细胞增生[1]。子宫肌瘤属于良性肿瘤，多发生于30 ～ 40岁妇女，其恶变率为0.4% ～ 0.8%，若进展到一定程度需行子宫肌瘤剥除术甚至子宫切除术[2-3]，这将会严重影响患者的生育功能，必须引起重视。从目前来看，子宫肌瘤的主要处理方式为手术治疗，而以往多以开腹手术处理，住院时间长，术后疼痛明显，容易盆腔粘连。随着科学技术发展，腹腔镜技术的不断完善与成熟，其在子宫肌瘤治疗中显示了明显的优势，有着微创与无痛及安全等特点。我院近几年将其应用在临床中，取得了不错的效果，但国内关于腹腔镜与传统开腹手术治疗子宫肌瘤的临床效果的对比研究并不多见，为此我院进行了相关研究，现报道如下。
1 资料与方法
1.1 一般资料
选取我院2012年1月～2014年7月接诊的子宫肌瘤患者82例作为研究对象，全部签署知情同意书愿意配合本次研究，入院后经B超、盆腔检查及宫颈细胞学检查等确诊，并且确定肿瘤的大小、位置及数量，同时排除恶性病变患者、阴道不规则流血患者、月经不调患者[4]。将82例患者随机分为研究组与对照组，各41例，其中对照组：年龄30～56岁，平均(42.7±5.1)岁;肌瘤数量1 ～ 3个，平均(1.8±0.3)个;肌瘤直径3.2～5.3cm，平均(4.6±0.7) cm。研究组：年龄31 ～ 54岁，平均(42.6±5.4)岁;肌瘤数量1 ～ 3个，平均(1.7±0.4)个;肌瘤直径3.0 ～ 5.1cm，平均(4.4±0.8)cm。两组患者年龄、肌瘤数量、肌瘤直径等一般资料比较，差异无统计学意义(P>0.05)，具有可比性。, 百拇医药(孙秀萍)
[关键词]子宫肌瘤;腹腔镜;开腹手术
[中图分类号] R737.33 [文献标识码] B [文章编号] 2095-0616(2015)02-70-03
Clinical comparative study of laparoscopy and open surgery treatment of hysteromyoma
SUN Xiuping
Department of Obstetrics and Gynecology， Zhangjiagang Hospital of Traditional Chinese Medicine， Zhangjiagang 215600， China
[Abstract] Objective To analyze the clinical effect of laparoscopy in the treatment of hysteromyoma compared with open surgery. Methods 82 cases with hysteromyoma who were admitted in our hospital from January 2012 to July 2014 were randomly divided into study group and control group with 41 cases in each group. Patients were cure by open surgery in control group， while cure by laparoscopy in study group. In 1 year follow-up， to observe， record and analyze comparatively the operation time， the intraoperative blood loss， the recovery flatus time， the hospitalization time， the postoperative complications， the total effective rate and the recurrence rate of follow-up of the two group. Results The intraoperative blood loss， the recovery flatus time and the hospitalization time were lower while the total effective rate was higher in study group compared with control group， there were significant differences between each other(P<0.05 or P<0.01). The operation time and the recurrence rate of follow-up had no statistical significance between the two group(P>0.05). Conclusion Laparoscopy in the treatment of hysteromyoma which has less blood loss， fewer complications， higher safety，and is worthy of reference compared with open surger.
[Key words] Hysteromyoma; Laparoscopy; Open surgery
子宫肌瘤属于女性常见疾病，发病原因主要在于不成熟子宫平滑肌细胞增生[1]。子宫肌瘤属于良性肿瘤，多发生于30 ～ 40岁妇女，其恶变率为0.4% ～ 0.8%，若进展到一定程度需行子宫肌瘤剥除术甚至子宫切除术[2-3]，这将会严重影响患者的生育功能，必须引起重视。从目前来看，子宫肌瘤的主要处理方式为手术治疗，而以往多以开腹手术处理，住院时间长，术后疼痛明显，容易盆腔粘连。随着科学技术发展，腹腔镜技术的不断完善与成熟，其在子宫肌瘤治疗中显示了明显的优势，有着微创与无痛及安全等特点。我院近几年将其应用在临床中，取得了不错的效果，但国内关于腹腔镜与传统开腹手术治疗子宫肌瘤的临床效果的对比研究并不多见，为此我院进行了相关研究，现报道如下。
1 资料与方法
1.1 一般资料
选取我院2012年1月～2014年7月接诊的子宫肌瘤患者82例作为研究对象，全部签署知情同意书愿意配合本次研究，入院后经B超、盆腔检查及宫颈细胞学检查等确诊，并且确定肿瘤的大小、位置及数量，同时排除恶性病变患者、阴道不规则流血患者、月经不调患者[4]。将82例患者随机分为研究组与对照组，各41例，其中对照组：年龄30～56岁，平均(42.7±5.1)岁;肌瘤数量1 ～ 3个，平均(1.8±0.3)个;肌瘤直径3.2～5.3cm，平均(4.6±0.7) cm。研究组：年龄31 ～ 54岁，平均(42.6±5.4)岁;肌瘤数量1 ～ 3个，平均(1.7±0.4)个;肌瘤直径3.0 ～ 5.1cm，平均(4.4±0.8)cm。两组患者年龄、肌瘤数量、肌瘤直径等一般资料比较，差异无统计学意义(P>0.05)，具有可比性。, 百拇医药(孙秀萍)