初萍滨州医学院烟台附属医院妇科，山东烟台　264100

腹腔镜手术和开腹手术治疗巨大子宫肌瘤的临床对比分析

初萍
滨州医学院烟台附属医院妇科，山东烟台264100

目的 探讨腹腔镜手术和开腹手术治疗巨大子宫肌瘤的临床效果。方法方便选取该院2015年2月—2016年2月收治的120例巨大子宫肌瘤患者，随机分成两组，观察组患者采用腹腔镜手术疗法治疗，对照组患者采用开腹手术疗法治疗，对比两组患者的手术以及预后效果。结果 观察组有效率91.67%（55/60），对照组有效率73.33%（44/60），观察组患者的术后并发症的发生率为6.67%（460），对照组患者的术后并发症的发生率为21.67%（13/60）；两组患者上述指标差异有统计学意义（P＜0.05）。结论 腹腔镜手术治疗巨大子宫肌瘤有较高的治疗有效率，手术时间较短，减少手术出血量，手术并发症的发生率低，值得临床推广。

腹腔镜手术；开腹手术；巨大子宫肌瘤；临床对比

［Abstract］Objective To investigate the clinical effect of laparoscopic surgery and open surgery in the treatment of large uterine fibroids.Methods Convenient selection select our hospital from February 2015 to February 2016 treated 120 cases of giant hysteromyoma patients were randomly divided into two groups，the observation group were treated by laparoscopic surgical therapy in the treatment of，in the control group were treated with open surgery therapy，compared two groups of patients with operation effect and prognosis.Results Observation group，the effective rate was 91.67%（5560）and the control group，the effective rate was 73.33%（4460）and observation group patients after the incidence of complications was 6.67% （460）.In the control group of patients after the incidence of complications for 21.67%（1360）；two groups of patients with the index difference has statistical significance（P＜0.05）.Conclusion Laparoscopic surgery in the treatment of large uterine fibroids have high treatment efficiency，shorter operation time，reduce the amount of bleeding，the incidence of surgical complications is low，it is worthy of clinical promotion.

［Key words］Laparoscopic surgery；Open surgery；Giant uterine fibroids；Clinical contrast

子宫肌瘤是女性生殖器最常见的良性肿瘤。子宫肌瘤由子宫平滑肌组织增生而成，期间有少量的纤维结缔组织［1］。因很多患者无明显的临床症状，或子宫肌瘤的体积很小不能被发现，临床对子宫肌瘤的发病率没有确定的统计。临床上治疗子宫肌瘤常用手术治疗和药物治疗，但药物治疗仅控制肌瘤大小，对肌瘤的数量并没有明显的减少作用，且停药后复发率较高［2］。手术治疗方法有腹腔镜手术治疗和开腹手术治疗，笔者为探讨腹腔镜手术治疗和开腹治疗巨大子宫肌瘤的临床效果，方便选取该院2015年2月—2016年2月收治的120例巨大子宫肌瘤患者做出分析性研究，现报道如下。……