摘要
目的分析比较阴式手术与腹腔镜手术治疗宫颈肌瘤的疗效。方法选取石家庄市第一医院妇产科2011年6月-2016年6月诊治的宫颈肌瘤患者89例,分为观察组(采用阴式手术入路)和对照组(采用腹腔镜手术入路),比较两组临床资料和手术相关指标。结果观察组47例,对照组42例。两组平均年龄、肌瘤最大直径、肌瘤类型、手术方式差异均无统计学意义;观察组手术时间[(45.6±19.3)min vs(62.0±27.1)min,P=0.001]、术中出血量[(53.6±18.8)ml vs(64.2±25.9)ml,P=0.029]均少于对照组;两组平均住院日[(5.7±1.3)d vs(5.2±1.1)d]、并发症发生率[8例(17.0%)vs 11例(26.2%)]差异无统计学意义(P均>0.05)。结论与腹腔镜手术相比,阴式手术治疗宫颈肌瘤在保证治疗效果的同时手术完成更高效、更安全,该手术对硬件要求低,适合基层医院推广应用。
Objective To compare the effectiveness of vaginal or laparoscopic surgery in the treatment for cervical myoma. Methods A total of 89 cases with cervical myoma in our hospital during June 2011 to June 2016 were selected. All cases were divided into observation group （vaginal myomectomy） and control group （laparoscopic myomectomy）. The clinical data and operative indexes were compared between the two groups. Results There was no significant difference between the two groups in mean age, maximum diameter of myoma, type of myoma, clinical symptoms and hysterectomy option. The operating time （45.6±19.3 min vs 62.0±27.1 min, P =0.001） and blood loss （53.6±18.8 ml vs 64.2±25.9 ml, P =0.029） in observation group were less than those in control group with statistically significant differences. There was no significant difference in average hospitalization days （5.7±1.3 days vs 5.2±1.1 days） and complication rates （17.0% vs 26.2%） between the two groups （P ＞ 0.05, respectively）. Conclusion Compared with laparoscopic myomectomy, vaginal myomectomy is more effective and safe for patients with cervical myoma.
作者
张宁宁
赵恩锋
赵芳
徐锋
ZHANG Ningning ZHAO Enfeng ZHAO Fang XU Feng(Department of Obstetrics and Gynecology, the First Hospital of Shijiazhuang, Shijiazhuang 050011, Hebei Province, China Department of Obstetrics and Gynecology, Chinese PLA General Hospital, Beijing 100853, China)
出处
《解放军医学院学报》
CAS
2017年第7期631-633,638,共4页
Academic Journal of Chinese PLA Medical School
