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目的观察子宫肌瘤行腹腔镜手术的治疗方法和效果。方法选取医院收治的子宫肌瘤患者62例作为研究对象,随机分为试验组和对照组,每组31例。对照组采取常规腹腔镜气腹子宫肌瘤剔除术,试验组采取免气腹悬吊式腹腔镜子宫肌瘤剔除术,比较2组各项手术治疗指标,观察术后并发症和复发情况。结果试验组术中出血量少于对照组(P<0.01),手术时间、排气时间、住院时间均短于对照组(P<0.01或P<0.05),术后肩胛痛发生率为0,低于对照组的16.1%(P<0.05)。结论子宫肌瘤患者行腹腔镜手术时,免气腹悬吊术式优于常规术式,有利于改善手术指标和预后,值得临床推广应用。
Objective To observe the method and effect of laparoscopic surgery for uterine fibroids. Methods Totally 62 cases of uterine leiomyoma admitted to hospital were selected as study subjects and randomly divided into experimental group and control group, with 31 cases in each group. The control group was treated with conventional laparoscopic pneumoperitoneum myomectomy, and the experimental group was treated with pneumoperitoneum laparoscopic myomectomy. All the two groups were compared with each other to observe the postoperative complications and recurrence. Results The bleeding volume in the experimental group was less than that in the control group (P <0.01), and the operation time, exhaust time and hospital stay were shorter than those in the control group (P <0.01 or P <0.05) 16.1% less than the control group (P <0.05). Conclusion When patients with uterine fibroids undergoing laparoscopic surgery, the pneumoperitoneum suspension technique is superior to the conventional technique, which is helpful to improve the operation indexes and prognosis, which is worthy of clinical application.