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不同术式对子宫肌瘤的治疗及预后比较分析
引用本文:鄢碧玉,毛胜艳,程蓉,曾莹,李衫.不同术式对子宫肌瘤的治疗及预后比较分析[J].现代生物医学进展,2013(28):5486-5488.
作者姓名:鄢碧玉  毛胜艳  程蓉  曾莹  李衫
作者单位:[1]四川省人民医院妇产科,四川成都110042 [2]第三军医大学临床医学系,重庆400038
基金项目:国家自然科学基金项目(30872464)
摘    要:目的:探讨比较腹腔镜、阴式和腹式子宫肌瘤剔除术对子宫肌瘤的治疗效果及预后的影响。方法:选取我院自2011年1月至2012年12月收治的130例子宫肌瘤患者作为研究对象进行回顾性调查分析,分别统计其年龄、肌瘤大小和数目、手术时间、术中出血量、术后肠功能恢复时间、术后住院天数和并发症等共八个因素进行分析,并作统计对比,取P〈0.05为有统计学意义。结果:手术时间阴式组最短为64.8±14.5min,腹腔镜组最长为105.8±32.3min,术中出血量阴式组最少为89.4±21.6mL,腹式组最多为230.6±45.1mL,差异有统计学意义(P〈O.05)。术后肠胃功能恢复:阴式组为24.6±12.3h,为三组中最短;腹式为33.2±8.9h,为三组中最长。差异具有统计学意义(P〈0.05)。术后住院日:腹腔镜组与阴式组术后住院日相近,差异不具有统计学意义(P〉0.05),而比腹式术后住院日明显减少,差异具有统计学意义(P〈0.05)。术后并发症:腹腔镜组术后并发症为1.40%,少于阴式和腹式,差异具有统计学意义(P〈0.05)。结论:阴式子宫肌瘤切除术具有手术时间短、术中出血少、手术恢复快的明显优势,但其对病灶的选择性较大,适合切除下段的肿瘤。腹腔镜子宫肌瘤切除术具有广泛的适用性,并发症少,术后恢复也较快,是值得选择的方式。而腹式手术在各方面都不具有特点,只是在解决高难度的子宫肌瘤上是唯一的选择。

关 键 词:不同术式  子宫肌瘤  疗效

Different Operative Methods for the Treatment and Prognosis of Uterine Fibroids in the Comparative Analysis
YAN Bi-yu,MAO Sheng-yan,CHENG Rong,ZENG Ying,LI Shan.Different Operative Methods for the Treatment and Prognosis of Uterine Fibroids in the Comparative Analysis[J].Progress in Modern Biomedicine,2013(28):5486-5488.
Authors:YAN Bi-yu  MAO Sheng-yan  CHENG Rong  ZENG Ying  LI Shan
Institution:1 Sichuan province people's hospital of gynecology and obstetrics, Chengdu, Sichuan, 110042, China; 2 The third military medical university clinical medicine, Chongqing, 400038, China)
Abstract:Objective: To explore the treatment and prognosis effect of laparoscopic, vagina and abdominal eliminating uterine fibroids. Methods: 130 patients, from January 2011 to December 2012 in our hospital, with uterine fibroids treatment were retrospectively selectively analyzed. A total of eight factors, the statistics of its age, fibroids size and number, operation time, intraoperative blood loss, postoperative intestinal function recovery time, complications and postoperative hospitalization days, were statistical analyzed, P 〈 0.05 for statistical significance. Results: Shortest operation time in vagina group was 64.8±14.5 min, the longest one in laparoscopic group was 105.8±32.3 rain, the least intraoperative blood loss in vagina groups was 89.4± 21.6 mL. Which in belly group was up to 230.6±45.1 mL, the difference was statistically significant (P 〈 0.05). As for postoperative gastrointestinal fimction recovery, the vagina group was 24.6± 12.3 h and shortest in three groups; Belly group is the longest ( 33.2± 8.9 h) in the three groups, which had statistically significant difference (P 〈 0.05). As for postoperative hospitalization days: Those in the vagina and laparoscopic group were close, no statistically significant difference (P 〉 0.05), and significantly reduced compared with the abdominal postoperative group, statistically significant difference (P 〈 0.05). Postoperative complications in the laparoscopic group was 1.40%, and was less than those in vagina and abdominal, the difference had statistical significance (P 〈 0.05). Conclusion: Vagina type hysteromyoma resection has obvious advantages, such as a short operation time, intraoperative less bleeding, quick recovery, but is bigger to the selectivity of the lesion, and thus is suitable for the low tumor excision. Laparoscopic hysteromyoma resection has a wide applicability, fewer complications, postoperative recovery faster, is worthy of choice. And abdominal surgery has no characteristic on every way, except as the only option for solving difficult uterine flesh tumour.
Keywords:Different operative methods  Uterine fibroids  Curative effect
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