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目的探讨腹腔镜手术在子宫肌瘤疾病中的治疗效果及应用价值。方法选取我院87例诊断为子宫肌瘤的患者,按照入院顺序分为试验组47人和对照组40人,试验组采用腹腔镜下经腹壁打孔入盆腔行子宫肌瘤剥除术;对照组采用开腹直视下行肌瘤剥除术。观察两组患者的手术时间、术中出血、术后肛门排气时间、术后镇痛泵使用情况、住院时间、术后并发症,随访1年,观察两组患者的复发情况。结果两组患者经不同手术方式治疗后手术时间、术中出血、肛门排气时间、住院时间、术后镇痛使用例数比较。随访1年所有患者行B超检查,试验组有3例复发,而对照组有2例复发,两组比较有χ2=0.21,P<0.05。提示两组复发率不存在差异。结论腹腔镜手术治疗子宫肌瘤具有微创、安全、术中出血少、住院天数少、术后镇痛使用率少等优势,值得临床上应用。
Objective To investigate the therapeutic effect and application value of laparoscopic surgery in uterine myoma diseases. Methods 87 patients diagnosed as uterine fibroids in our hospital were divided into experimental group (47) and control group (40) according to admission sequence. The experimental group was treated by laparoscopic peritoneal perforating with pelvic uterine fibroids. The control group Group open laparotomy hypophysectomy. The operation time, intraoperative bleeding, postoperative anal exhaust time, postoperative analgesia pump use, hospitalization time and postoperative complications were observed. The patients were followed up for 1 year. The recurrence of the two groups was observed. Results The operation time, intraoperative bleeding, anal exhaust time, hospitalization time and postoperative analgesia were compared between the two groups after treatment by different surgical methods. All the patients were followed up for one year. All the patients underwent B-mode ultrasound examination. There were 3 cases relapse in the test group, while 2 cases in the control group had recurrence. The two groups had χ2 = 0.21, P <0.05. Prompted no recurrence rate difference between the two groups. Conclusion Laparoscopic surgery for the treatment of uterine fibroids with minimally invasive, safe, less bleeding, less days of hospitalization, postoperative analgesic use less advantages, it is worth clinical application.