宫腔镜与腹腔镜手术剔除子宫肌瘤临床疗效观察

目的探讨宫腔镜与腹腔镜手术剔除子宫肌瘤的临床疗效。方法将我院收治的118例子宫肌瘤患者随机分为对照组与观察组,对照组实施腹腔镜子宫肌瘤剔除术,观察组实施宫腔镜子宫肌瘤电切术治疗,比较两组围手术期指标、术后子宫肌层愈合情况以及术后妊娠情况。结果观察组的手术时间、术中出血量、术后肌层完全愈合率以及首次妊娠距手术时间均显著优于对照组,差异有统计学意义(P0.05);两组术中转开腹率、术后发热率、月经改善率以及术后妊娠率比较,差异无显著性意义(P0.05)。结论宫腔镜与腹腔镜手术治疗子宫肌瘤均安全可靠,但宫腔镜术中出血量更少、术后恢复更迅速,是有生育要求患者的首选术式。

Clinical observation of hysteroscopic and laparoscopic myomectomy for uterine fibroids

Objective To investigate the hysteroscopic and laparoscopic surgery removed the clinical effect of the treatment of uterine fibroids.Methods 118 patients with hysteromyoma patients were randomly divided into control group and observation group,control group in the implementation of laparoscopic uterine flesh tumour removed,observation group implement the hysteroscopic treatment of uterine fibroids cutting,compared two groups of index of perioperative and postoperative myometrium healing and postoperative pregnancies.Results The operation time,intraoperative blood loss,postoperative observation group first complete healing rate and the muscle layer of pregnancy is apart from the operation time were significantly better than that of control group (P<0.05);two transfer laparotomy group rate,rate of postoperative fever,menstrual period and postoperative pregnancy rate compared with no significant difference (P>0.05).Conclusion Hysteroscopic and laparoscopic surgical treatment of uterine fibroids is safe and reliable,but hysteroscopy less intraoperative blood loss,postoperative recovery more quickly,for postoperative patients with fertility requirements,hysteroscopy surgery effect is better,is worth promoting in clinic.