鲁琳琳淄博矿业集团有限责任公司中心医院妇产科，山东淄博　255120

腹腔镜手术治疗50例子宫肌瘤的临床疗效观察

鲁琳琳
淄博矿业集团有限责任公司中心医院妇产科，山东淄博255120

目的研究腹腔镜手术治疗子宫肌瘤的临床疗效。方法选取2014年1月～2015年1月我院收治的50例腹腔镜子宫肌瘤剔除术患者作为观察组，对照组为同期在我院行开腹子宫肌瘤切除术患者30例。对两组的术中出血量、术后排气时间及术后住院时间及复发率、并发症情况进行分析比较。结果观察组患者术中出血量（72.56±12.38）mL，显著少于对照组的（86.31±11.75）mL，差异有统计学意义（P＜0.05）；观察组患者术后排气时间、术后住院时间分别为（19.94±5.85）d、（4.35±1.12）d，均显著短于对照组的（33.11±3.21）d、（10.74±2.78）d，差异有统计学意义（P＜0.05）；观察组的手术并发症为4.00%（2/50），而对照组的手术并发症为40.00%（12/30），两组比较差异有统计学意义（P＜0.05）；观察组的复发率6.00%（3/50），显著低于对照组的30.00%（9/30），差异有统计学意义（P＜0.05）。结论腹腔镜手术治疗子宫肌瘤疗效确切、术中出血量少、并发症少且术后恢复快，值得推广和应用。

子宫肌瘤；腹腔镜手术；并发症；出血量

［Abstract］Objective To study the clinical effect of laparoscopic surgery in treatment of uterine fibroids.M ethods From January 2014 to January 2015 in our hospital，50 cases of laparoscopicmyomectomy patientswere selected as the observation group and at the same period in our hospital，30 cases patients underwent uterine fibroids resection were selected as the control group，the intraoperative blood loss，postoperative exhaust time and postoperative hospitalization time and recurrence rate and complications of two groups were compared.Results The bleeding in observation group was（72.56±12.38）mL，significantly less than that in the control group（86.31±11.75）mL，the difference was significant（P＜0.05），the postoperative exhaust time，postoperative hospital stay in the observation group were（19.94±5.85）d，（4.35± 1.12）d，significantly shorter than the control group（33.11±3.21）d，（10.74±2.78）d（P＜0.05），surgical complications of observation group was 4.00%（2/50），the control group was 40.00%（12/30），the difference was significant（P＜0.05），the recurrence rate of in observation group was 6.00%（3/50），significantly lower than the control group 30.00%（9/30），the difference was significant（P＜0.05）.Conclusion Laparoscopic surgery is high curative effect，little amount of bleeding during operation，less complications，and rapid postoperative recovery in the treatment of uterine fibroids.

［Key words］Uterine fibroids；Laparoscopic surgery；Complications；Bleeding

子宫肌瘤是妇产科的常见病、多发病，通常无明显症状。当肌瘤增大、症状明显时目前临床多采取手术治疗。传统开腹子宫肌瘤切除术具有创伤大、瘢痕大、术后恢复慢等缺点，随着微创手术的发展，腹腔镜子宫肌瘤剔除术逐渐应用于临床，避免了传统开腹子宫肌瘤剔除术的缺点，成为一种理想的治疗子宫肌瘤的方法。2014年1月～2015年1月我院行腹腔镜子宫肌瘤剔除术治疗子宫肌瘤50例，取得了较好的临床疗效，现报道如下。……