宫腹腔镜联合治疗多发性子宫肌瘤的效果

发布时间：2018-07-17 18:27

【摘要】：目的分析宫腔镜联合腹腔镜治疗多发性子宫肌瘤的临床效果。方法选取收治的200例多发性子宫肌瘤患者,按照入院的先后分为观察组和对照组。对照组患者进行开腹手术;观察组患者则在宫腹腔镜联合下进行手术。对比两组患者在术中及术后的各项指标,同时就两组患者的并发症复发情况进行比较。对两组患者的围手术期指标、子宫肌瘤残留率、复发情况等进行对比。结果观察组患者的手术时间、术中出血量、术后排气时间以及体温恢复时间均低于对照组,差异有统计学意义(P0.05);观察组的并发症发生率和复发率分别为2.0%、1.0%,与对照组(13.0%、10.0%)相比,差异有统计学意义(P0.05)。结论多发性子宫肌瘤患者采用宫腔镜联合腹腔镜治疗的疗效好、并发症发生率与复发率明显低于开腹手术。
[Abstract]:Objective to analyze the clinical effect of hysteroscopy combined with laparoscopy in the treatment of multiple uterine leiomyoma. Methods 200 patients with multiple hysteromyoma were divided into observation group and control group. The patients in the control group were operated by laparotomy and the patients in the observation group were operated under the combination of hysteroscopy and laparoscopy. The indexes of intraoperative and postoperative complications were compared between the two groups. The perioperative indexes, uterine leiomyoma residual rate and recurrence were compared between the two groups. Results the operative time, intraoperative bleeding volume, postoperative exhaust time and body temperature recovery time in the observation group were significantly lower than those in the control group (P0.05), the incidence of complications and the recurrence rate in the observation group were 2.0 and 1.0, respectively, compared with those in the control group (13.0%, 10.0%). The difference was statistically significant (P0.05). Conclusion hysteroscopy combined with laparoscopy is effective in the treatment of multiple uterine leiomyoma, and the incidence and recurrence rate of complications are significantly lower than that of open surgery.
【作者单位】：汕尾市人民医院妇产科;
【基金】：汕尾市科技计划项目(编号:2014C022)
【分类号】：R737.33

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