宮腔鏡與腹腔鏡手術剔除子宮壁間肌瘤的療效對比

趙駿達 趙靜 李燕 王娟 馬俊旗

【摘要】目的：探討宮腔鏡與腹腔鏡手術剔除子宮壁間肌瘤的臨床療效。方法：選取本院2011年12月至2013年12月診治的子宮壁間肌瘤患者88例，采用隨機數字表法分為兩組，44例患者采用腹腔鏡手術治療為對照組，44例患者采用宮腔鏡手術治療為觀察組，比較兩組患者的治療效果。結果：觀察組患者手術時間、術中出血量、術后住院時間、術后首次妊娠時間均明顯少于對照組，圍手術期血紅蛋白降低程度明顯小于對照組，術后肛門排氣時間、首次下床活動時間、術后肌層完全愈合時間均明顯短于對照組，術后鎮痛率、術后并發癥發生率均明顯低于對照組，術后妊娠率明顯高于對照組，差異均有統計學意義（P<0.05）。結論：宮腔鏡與腹腔鏡手術均是治療子宮壁間肌瘤的有效方法，其中宮腔鏡手術的治療效果更佳，對患者創傷小，可明顯縮短患者的治療時間和恢復時間，患者預后好且安全性高，值得臨床推廣使用。

【關鍵詞】宮腔鏡；腹腔鏡；子宮壁間肌瘤

Curative effect of hysteroscopy and laparoscopy operation in treatment of uterine intramural myomaZHAO Junda， ZHAO Jing， LI Yan， WANG Juan， MA Junqi△. Department of Gynecological Clinic， Center for Reproductive Aid， First Affiliated Hospital of Xinjiang Medical University， Urumqi 830000， Xinjiang， China

【Abstract】Objectives： To investigate the clinical effect of hysteroscopy and laparoscopy operation in treatment of uterine intramural myoma. Methods： 88 patients with uterine intramural myoma were selected in hospital from December 2011 to December 2013 and randomly divided into two groups， 44 patients treated by laparoscopy operation as control group and 44 patients treated with hysteroscopy operation as observation group. Therapeutic effect was compared between the two groups. Results： Operation time， intraoperative bleeding volume， postoperative hospitalization time， postoperative first pregnancy time in observation group were significantly less than control group. Reduction level of hemoglobin during operation in observation group was significantly smaller than control group. Postoperative anal exhaust time， first bed activity time， postoperative muscle layer completely healing time in observation group was significantly earlier than control group. Postoperative analgesia rate， incidence of postoperative complications in observation group was significantly lower than control group. Postoperative pregnancy rate in observation group was significantly higher than control group. All differences were statistically significant （P<0.05）. Conclusions： Hysteroscopy and laparoscopy operation are effective methods in treatment of uterine intramural myoma. Hysteroscopy operation has better treatment effect， which has small trauma and can significantly shorten treatment time and recovery time with good prognosis and high safety， thusly is worthy of clinical use.

【Key words】Hysteroscopy； Laparoscopy； Uterine intramural myoma

【中圖分類號】R737.33【文獻標志碼】A

子宮壁間肌瘤是臨床常見病癥，高發于30～50歲女性[1]，可造成月經周期延長、陰道流液、月經量增多等臨床表現。隨著醫療診療技術的不斷提高，新的檢查手段和治療方法不斷應運而生，使得子宮壁間肌瘤的檢出率顯著提升[2]。子宮壁間肌瘤的常用治療手段為腹腔鏡手術[3]、宮腔鏡手術[4]。為了探討宮腔鏡與腹腔鏡手術剔除子宮壁間肌瘤的臨床療效，此次研究選取子宮壁間肌瘤患者44例，采用宮腔鏡手術治療，取得了較好的治療效果，現報告如下。

1資料與方法

1.1資料

子宮壁間肌瘤患者88例，于2011年12月至2013年12月到我中心婦科門診救治，入組患者均簽署知情同意書。隨機分……