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目的观察分析不同术式子宫肌瘤剔除治疗子宫肌瘤的效果。方法 280例子宫肌瘤患者,依据分组对照原则分为对照组和观察组,各140例。观察组患者采取腹腔镜下子宫肌瘤原位旋切剔除术,对照组患者采取常规的经腹子宫肌瘤剔除术,对比两组患者的手术时间、术后感染发生率、术中出血量及月经缓解率。结果观察组患者的手术时间为(94.62±20.15)min,术后感染发生率为3.57%(5/140),术中出血量为(54.26±6.62)ml,月经缓解率为96.43%(135/140)。对照组患者的手术时间为(125.54±21.35)min,术后感染发生率为11.43%(16/140),术中出血量为(95.62±6.71)ml,月经缓解率为86.43%(121/140)。观察组的手术时间短于对照组,术后感染发生率低于对照组,术中出血量少于对照组,月经缓解率高于对照组,差异均具有统计学意义(P<0.05)。结论腹腔镜下子宫肌瘤原位旋切剔除术治疗子宫肌瘤患者的不适反应或术后恢复情况均明显优于常规的经腹子宫肌瘤剔除术,具有临床推广使用的价值。
Objective To observe and analyze the effect of different surgical hysterectomy on uterine fibroids. Methods A total of 280 patients with uterine fibroids were divided into control group and observation group according to the principle of grouping and control, each with 140 cases. In the observation group, the patients underwent laparoscopic in situ rotational excision of uterine fibroids, and the control group received conventional abdominal myomectomy. Comparing the operation time, postoperative infection rate, intraoperative blood loss, Menstrual response rate. Results The operation time of the observation group was (94.62 ± 20.15) min, the postoperative infection rate was 3.57% (5/140), the intraoperative bleeding volume was (54.26 ± 6.62) ml, the menstrual remission rate was 96.43% (135 / 140). The operation time of the control group was (125.54 ± 21.35) min, the postoperative infection rate was 11.43% (16/140), the bleeding volume was (95.62 ± 6.71) ml and the rate of menstruation was 86.43% (121/140) ). The operation time of the observation group was shorter than that of the control group. The incidence of postoperative infection was lower than that of the control group. The blood loss during the operation was less than that of the control group. The rate of menstrual remission was higher than that of the control group. The difference was statistically significant (P <0.05). Conclusions Laparoscopic orthotopic excision of uterine fibroids for the treatment of uterine fibroids patients with discomfort or postoperative recovery were significantly better than conventional abdominal myomectomy, with the clinical value of the promotion.