微创腹腔镜子宫肌瘤剔除术治疗子宫肌瘤患者的临床效果及其预后质量分析(1)
【摘要】 目的：探討微创腹腔镜子宫肌瘤剔除术治疗子宫肌瘤的临床效果及其预后质量。方法：选取2018年1-12月本院收治的子宫肌瘤患者50例，按随机数字表法分为对照组与观察组，各25例。对照组行传统开腹子宫肌瘤剔除术，观察组行微创腹腔镜子宫肌瘤剔除术。比较两组围术期指标、卵巢功能及创伤反应。结果：观察组手术时间长于对照组，而术中出血量少于对照组，肛门排气、下床活动及住院时间均短于对照组(P<0.05)。术后，两组雌二醇(E2)水平均低于术前，而促黄体生成素(LH)和促卵泡激素(FSH)均高于术前(P<0.05);术后，观察组E2水平高于对照组，而LH和FSH水平均低于对照组(P<0.05)。术后，观察组白介素-6(IL-6)、P物质(SP)和前列腺素E2(PGE2)水平均低于对照组(P<0.05)。结论：微创腹腔镜子宫肌瘤剔除术能够有利于子宫肌瘤患者的术后恢复，对患者的卵巢功能和创伤反应影响较小，值得推广。
【关键词】 微创 腹腔镜子宫肌瘤剔除术 子宫肌瘤
Clinical Effect and Prognostic Quality of Minimally Invasive Laparoscopic Myomectomy on Uterine Fibroids/ZOU Qiaoyu. //Medical Innovation of China， 2020， 17(11)： -129
[Abstract] Objective： To investigate the clinical effect and prognostic quality of minimally invasive laparoscopic myomectomy for uterine fibroids. Method： A total of 50 patients with uterine fibroids in our hospital from January to December 2018 were selected. They were divided into control group and observation group according to the random number table method， 25 cases in each group. The control group was treated with traditional open hysteromyomectomy， and the observation group was treated with minimally invasive laparoscopic myomectomy. Perioperative indicators， ovarian function and trauma response were compared between the two groups. Result： The operation time in the observation group was longer than that in the control group ， while the intraoperative blood loss was less than that of control group， anal exhaust， activity of getting out of bed and hospital stay time in the observation group were shorter than those in the control group (P<0.05). After surgery， the levels of estradiol (E2) in both groups were lower than those before surgery， while luteinizing hormone (LH) and follicle-stimulating hormone (FSH) were higher than those before surgery (P<0.05). After surgery， E2 level of the observation group was higher than that of the control group， while LH and FSH levels were lower than those of the control group (P<0.05). After surgery， the levels of interleukin-6 (IL-6)， substance P (SP) and prostaglandin E2 (PGE2) in the observation group were lower than those in the control group (P<0.05). Conclusion： Minimally invasive laparoscopic myomectomy is beneficial to the postoperative recovery of patients with uterine fibroids and has little impact on the ovarian function and trauma response of patients， which is worth promoting.
[Key words] Minimally invasive Laparoscopy myomectomy Uterine fibroids, http://www.100md.com(邹巧瑜)
【关键词】 微创 腹腔镜子宫肌瘤剔除术 子宫肌瘤
Clinical Effect and Prognostic Quality of Minimally Invasive Laparoscopic Myomectomy on Uterine Fibroids/ZOU Qiaoyu. //Medical Innovation of China， 2020， 17(11)： -129
[Abstract] Objective： To investigate the clinical effect and prognostic quality of minimally invasive laparoscopic myomectomy for uterine fibroids. Method： A total of 50 patients with uterine fibroids in our hospital from January to December 2018 were selected. They were divided into control group and observation group according to the random number table method， 25 cases in each group. The control group was treated with traditional open hysteromyomectomy， and the observation group was treated with minimally invasive laparoscopic myomectomy. Perioperative indicators， ovarian function and trauma response were compared between the two groups. Result： The operation time in the observation group was longer than that in the control group ， while the intraoperative blood loss was less than that of control group， anal exhaust， activity of getting out of bed and hospital stay time in the observation group were shorter than those in the control group (P<0.05). After surgery， the levels of estradiol (E2) in both groups were lower than those before surgery， while luteinizing hormone (LH) and follicle-stimulating hormone (FSH) were higher than those before surgery (P<0.05). After surgery， E2 level of the observation group was higher than that of the control group， while LH and FSH levels were lower than those of the control group (P<0.05). After surgery， the levels of interleukin-6 (IL-6)， substance P (SP) and prostaglandin E2 (PGE2) in the observation group were lower than those in the control group (P<0.05). Conclusion： Minimally invasive laparoscopic myomectomy is beneficial to the postoperative recovery of patients with uterine fibroids and has little impact on the ovarian function and trauma response of patients， which is worth promoting.
[Key words] Minimally invasive Laparoscopy myomectomy Uterine fibroids, http://www.100md.com(邹巧瑜)
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