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目的:观察比较腹腔镜与开腹手术治疗子宫肌瘤的效果及妊娠结局。方法:选择子宫肌瘤208例,随机分为观察组和对照组各104例。观察组采用腹腔镜下子宫肌瘤剔除术,对照组采用开腹手术,比较两组手术时间、术后住院时间、残留和复发率、妊娠结局(妊娠率和流产率)及不良反应发生情况。结果:观察组手术时间、术后住院时间均显著短于对照组(P<0.05)。两组术后残留、复发率及妊娠结局比较,均差异不显著(P>0.05)。观察组术后不良反应发生率显著低于对照组(P<0.05)。结论:腹腔镜与开腹手术治疗子宫肌瘤术后残留、复发率及妊娠结局相近,应根据子宫肌瘤的具体情况,选择适合术式。
Objective: To observe the effect of laparoscopy and laparotomy on uterine fibroids and pregnancy outcomes. Methods: 208 cases of uterine fibroids were randomly divided into observation group and control group of 104 cases. The observation group was treated by laparoscopic myomectomy. The control group was operated on by laparotomy. The operation time, postoperative hospital stay, residual and recurrence rate, pregnancy outcome (pregnancy rate and abortion rate) and adverse reactions were compared between the two groups. Results: The operation time and postoperative hospital stay in observation group were significantly shorter than those in control group (P <0.05). There was no significant difference between the two groups in postoperative residual, recurrence rate and pregnancy outcome (P> 0.05). The incidence of postoperative adverse reactions in the observation group was significantly lower than that in the control group (P <0.05). Conclusion: Laparoscopy and laparoscopic surgery for residual uterine fibroids, recurrence rate and pregnancy outcome are similar, should be based on the specific circumstances of uterine fibroids, select the appropriate surgical procedures.