汤慕群

[摘要]目的 探究腹腔镜子宫肌瘤剔除术治疗子宫肌瘤的临床效果。方法 选择2015年7月～2017年6月我院收治的200例子宫肌瘤患者作为研究对象，根据入院顺序分为对照组和观察组，每组各100例。对照组给予传统开腹手术治疗，观察组给予腹腔镜子宫肌瘤剔除术治疗，分析比较两组患者的临床效果。结果 观察组术中失血量明显少于对照组，手术时间、首次排气时间、住院时间均明显短于对照组，差异均有统计学意义（P<0.05）；观察组并发症总发生率为4.00%，对照组为21.00%，观察组总并发症发生率明显低于对照组，差异有统计学意义（P<0.05）；两组子宫肌瘤残留率、病情复发率、妊娠率比较，差异无统计学意义（P>0.05）。结论 腹腔镜子宫肌瘤剔除术治疗子宫肌瘤，能够保证预后，优化手术指标，降低并发症发生率，保证手术效果，推广应用价值高。

[关键词]腹腔镜；子宫肌瘤；临床疗效

[中图分类号] R737.33 [文献标识码] A [文章编号] 1674-4721（2018）5（b）-0107-04

Clinical effect of laparoscopic myomectomy for the treatment of uterine fibroids

TANG Mu-qun

Department of Gynaecology and Obstetrics，the Fourth People′s Hospital of Nanhai District in Foshan City，Guangdong Province，Foshan 528211，China

[Abstract]Objective To explore the clinical effect of laparoscopic myomectomy for the treatment of uterine myoma.Methods 200 cases of hysteromyoma in our hospital from July 2015 to June 2017 were selected as the research objects.They were divided into control group and observation group according to the order of admission，100 cases in each group.The control group was treated with traditional laparotomy，and the observation group was treated with laparoscopic myomectomy.The clinical effects of the two groups were compared and analyzed.Results The intraoperative blood loss in the observation group was significantly lesser than that in the control group，and the time of operation，the time of the first evacuation and the length of hospitalization were significantly shorter than those in the control group（P<0.05）.The total incidence of complications was 4.00% in the observation group and 21.00% in the control group.The total incidence of complications in the observation group was significantly lower than that in the control group，the difference was significant （P<0.05）.The residual rate of uterine fibroids in the control group and observation group，recurrence rate，pregnancy rate difference was not significant（P>0.05）.Conclusion Endoscopic myomectomy hysterectomy for the treatment of uterine fibroids，to ensure the prognosis，optimize surgical indicators，reduce the incidence of complications，to ensure surgical results，promote the use of high value.

[Key words]Laparoscopy；Uterine fibroids；Clinical efficacy

子宮肌瘤[1]，女性临床多发生殖器官良性肿瘤，多见于30～50岁育龄女性。子宫肌瘤会影响女性生殖能力，且会随着年龄增长而增大，有癌变风险（0.4%～0.8%），因此需予以剔除治疗。子宫肌瘤治疗方法很多，对无生殖需求患者可行子宫全切治疗，但多数行子宫剔除治疗[2]。传统开腹手术、腹腔镜子宫肌瘤剔除术为临床中主要应用的两种术式，相比于传统开腹手术，腹腔镜手术临床应用前景更为广阔。本研究临床实践，展开比较分析，客观评估腹腔镜子宫肌瘤剔除术的临床应用价值，现报道如下。

1资料与方法

1.1一般资料

选取2015年7月～2017年6月入院，经B超、宫颈细胞学检查确诊子宫肌瘤200例作为研究对象，可保留子宫，愿意接受手术治疗。按照入院先后顺序分为对照组和观察组，每组各100例。……