子宫腺肌瘤腹腔镜手术临床应用效果观察(1)
【摘要】 目的：研究分析腹腔镜手术在子宫腺肌瘤治疗中的临床价值。方法：选取2011年2月-2013年2月在笔者所在医院接受治疗的120例子宫腺肌瘤患者，按照随机数字表法将其分为对照组和观察组各60例，其中对照组给予开腹手术，观察组给予子宫腺肌瘤腹腔镜手术。观察比较两组患者的手术时间、术中失血量、住院天数、并发症发生情况及术后复发情况。结果：观察组的手术时间和住院天数均明显短于对照组，术中失血量明显少于对照组，并发症发生率3.3%和术后复发率6.7%均明显低于对照组的13.3%和20.0%，差异均有统计学意义(P<0.05)。结论：腹腔镜手术在子宫腺肌瘤的治疗中具有重要的应用价值，创伤小、安全可靠且能够促进患者的预后，并可显著降低并发症的发生率与术后复发率，值得临床推广。
【关键词】 子宫腺肌瘤； 腹腔镜手术； 应用价值； 临床分析
中图分类号 R711.7 文献标识码 B 文章编号 1674-6805(2014)35-0035-02
, http://www.100md.com
【Abstract】 Objective：To study the clinical value of laparoscopic surgery in the treatment of uterine adenomyoma.Method：120 patients with uterine adenomyoma admitted to our hospital from February 2011 to February 2013 were selected，they were divided into the control group and the observation group according to the random number table method，60 cases in each group.The control group was given open operation，the observation group was given laparoscopic surgery of uterine adenomyoma.The operation time，volume of blood loss during operation，length of stay，occurrence of complications and postoperative recurrence between the two groups were observed and compared.Result：The operation time and length of stay in observation group were significantly shorter than those in control group，the volume of blood loss during operation was significantly less than control group，the incidence of complications and postoperative recurrence rate in observation group were 3.3% and 6.7%，wihich were significantly lower than 13.3% and 20.0% in the control group，the differences were statistically significant(P<0.05).Conclusion：Laparoscopic surgery has the important application value in the treatment of uterine adenomyoma，little trauma，safe and reliable and can promote the prognosis of patients，and can significantly reduce the incidence of complications and recurrence rate，is worthy of clinical application.
, 百拇医药
【Key words】 Uterine adenomyoma； Laparoscopic surgery； Application； Clinical analysis
子宫腺肌瘤是临床上常见的妇科疾病，属于良性肿瘤。研究认为，子宫腺肌瘤的出现与子宫损伤、雌激素异常分泌、感染等因素密切相关[1]。患者通常表现出月经不调、痛经、贫血以及子宫增大的症状体征，对其正常生活造成极大的困扰，另外子宫腺肌瘤会对输卵管产生影响而导致不孕，后果十分严重，因此早期诊断发现子宫腺肌瘤并予以有效的治疗十分关键。现阶段，临床上对于子宫腺肌瘤的治疗主要采取外科手术的方式，传统的开腹外科手术在临床上应用率逐渐降低。随着腹腔镜微创手术的推广普及，在妇科诸多疾病的治疗中发挥出重要的作用，其中包括子宫腺肌瘤[2]。为进一步研究分析腹腔镜手术在子宫腺肌瘤治疗中的临床价值，本文选取在笔者所在医院接受治疗的120例子宫腺肌瘤患者作为研究对象，通过对照分析的方法进行研究，现具体报告如下。
1 资料与方法
1.1 一般资料
选取2011年2月-2013年2月在笔者所在医院接受治疗的120例子宫腺肌瘤患者，均结合病史、症状体征和阴道超声进行确诊[3]。按照随机数字表法将所有患者分为对照组和观察组各60例，对照组60例患者中，年龄21～37岁，平均(31.3±5.2)岁；有妊娠史者42例；单发肌瘤25例，多发肌瘤35例；观察组60例患者中，年龄23～39岁，平均(31.7±5.5)岁；有妊娠史者41例；单发肌瘤26例，多发肌瘤34例；患者主要存在月经不调、痛经、贫血以及子宫增大的症状体征。两组患者的年龄、妊娠史、病情等一般资料比较差异均无统计学意义(P>0.05)，具有可比性。, http://www.100md.com(钟肇梅 陈彩霞 李忠忠)
【关键词】 子宫腺肌瘤； 腹腔镜手术； 应用价值； 临床分析
中图分类号 R711.7 文献标识码 B 文章编号 1674-6805(2014)35-0035-02
, http://www.100md.com
【Abstract】 Objective：To study the clinical value of laparoscopic surgery in the treatment of uterine adenomyoma.Method：120 patients with uterine adenomyoma admitted to our hospital from February 2011 to February 2013 were selected，they were divided into the control group and the observation group according to the random number table method，60 cases in each group.The control group was given open operation，the observation group was given laparoscopic surgery of uterine adenomyoma.The operation time，volume of blood loss during operation，length of stay，occurrence of complications and postoperative recurrence between the two groups were observed and compared.Result：The operation time and length of stay in observation group were significantly shorter than those in control group，the volume of blood loss during operation was significantly less than control group，the incidence of complications and postoperative recurrence rate in observation group were 3.3% and 6.7%，wihich were significantly lower than 13.3% and 20.0% in the control group，the differences were statistically significant(P<0.05).Conclusion：Laparoscopic surgery has the important application value in the treatment of uterine adenomyoma，little trauma，safe and reliable and can promote the prognosis of patients，and can significantly reduce the incidence of complications and recurrence rate，is worthy of clinical application.
, 百拇医药
【Key words】 Uterine adenomyoma； Laparoscopic surgery； Application； Clinical analysis
子宫腺肌瘤是临床上常见的妇科疾病，属于良性肿瘤。研究认为，子宫腺肌瘤的出现与子宫损伤、雌激素异常分泌、感染等因素密切相关[1]。患者通常表现出月经不调、痛经、贫血以及子宫增大的症状体征，对其正常生活造成极大的困扰，另外子宫腺肌瘤会对输卵管产生影响而导致不孕，后果十分严重，因此早期诊断发现子宫腺肌瘤并予以有效的治疗十分关键。现阶段，临床上对于子宫腺肌瘤的治疗主要采取外科手术的方式，传统的开腹外科手术在临床上应用率逐渐降低。随着腹腔镜微创手术的推广普及，在妇科诸多疾病的治疗中发挥出重要的作用，其中包括子宫腺肌瘤[2]。为进一步研究分析腹腔镜手术在子宫腺肌瘤治疗中的临床价值，本文选取在笔者所在医院接受治疗的120例子宫腺肌瘤患者作为研究对象，通过对照分析的方法进行研究，现具体报告如下。
1 资料与方法
1.1 一般资料
选取2011年2月-2013年2月在笔者所在医院接受治疗的120例子宫腺肌瘤患者，均结合病史、症状体征和阴道超声进行确诊[3]。按照随机数字表法将所有患者分为对照组和观察组各60例，对照组60例患者中，年龄21～37岁，平均(31.3±5.2)岁；有妊娠史者42例；单发肌瘤25例，多发肌瘤35例；观察组60例患者中，年龄23～39岁，平均(31.7±5.5)岁；有妊娠史者41例；单发肌瘤26例，多发肌瘤34例；患者主要存在月经不调、痛经、贫血以及子宫增大的症状体征。两组患者的年龄、妊娠史、病情等一般资料比较差异均无统计学意义(P>0.05)，具有可比性。, http://www.100md.com(钟肇梅 陈彩霞 李忠忠)