摘要
目的 探讨使用不同的手术方式治疗子宫肌瘤的临床效果。方法 选取2014年2月-2016年5月我院收治的51例子宫肌 瘤患者,按照住院顺序均分为A组和B组,A组患者为25例,B组患者为26例。A组患者使用开腹剔除术来进行治疗, B组患者使用宫腔镜剔除术来进行治疗,对比A、B两组患者术中出血量、手术时间、肛门排气时间、住院时间以及 治疗效果。结果 A组患者的出血量、肛门排气时间、住院时间均高于B组患者,对比差异明显,存在统计学意义(P <0.05)。而B组患者的手术时间、治疗有效率明显高于A组患者,对比差异明显,存在统计学意义(P<0.05)。结论 对子宫肌瘤进行治疗时,宫腔镜剔除术以及开腹剔除术都有各自的优势,在进行手术方式的选择时,应根据患者实 际情况进行选择。
Objective To investigate the clinical effect of the treatment of uterine fibroids using different surgical methods. Methods 51 cases of uterine fibroids were selected from February 2014 -2016 in May in our hospital, according to the order of hospitalization were divided into A group and B group, A group were 25 cases, B group of patients for 26 cases of. A patients with open myomectomy for treatment, B group were treated with hysteroscopic myomectomy for treatment, compared to A, B two groups of patients with blood loss, operative time, anal exhaust time, hospitalization time and treatment. Results The amount of bleeding in group A patients, flatus time, hospital stay were higher than group B patients, compared to obvious differences exist statistically significant (P<0.05). And group B patients with operation time, the treatment was significantly higher than in group A patients, significant differences in contrast, there is a statistically significant (P<0.05). Conclusion The treatment of uterine fibroids, hysteroscopic myomectomy and abdominal myomectomy has its own advantages, during the choice of surgical approach, patients should be selected according to the actual situation.
【关键词】子宫肌瘤;宫腔镜剔除术;开腹剔除术;临床效果
【中图分类号】R711.74 ;R713.4
【文献标识码】A
【DOI】10.3969/j.issn.1009-3257.2016.06.014
前言
最近几年,子宫肌瘤的发病率在逐年的递增,对 患者身心健康造成了一定的影响[1]。在子宫肌瘤的临 床治疗中,子宫肌瘤的剔除术可以保留女性的生育功 能,就目前来说,这是最理想的术式[2]。伴随着微创 理念的兴起,子宫肌瘤的治疗中宫腔镜剔除术的应用 越来越广泛。宫腔镜剔除术的创伤比较小、出血量也 比较小以及患者的恢复很快,在临床上被广泛的应 用[3]。尽管开腹剔除术的腹壁切口比较大,患者机体 恢复起来比较慢,以及住院时间比较长,但是当患者 的肿瘤比较大或者孕周比较长时,开腹剔除术的治疗 的效果特别好。为了探讨使用不同的手术方式治疗子宫肌瘤的临床效果,本次研究选取我院收治的51例子 宫肌瘤患者作为研究对象,现对研究作如下的报道。
罕少疾病杂志
第23卷, 第 2 期
2019年11月
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