子宫肌瘤患者腹腔镜下全子宫切除术与开腹手术的临床疗效比较研究

Abstract
Figure/Table
References (21)
Related Citation (15)

Download: PDF (0 KB) HTML (35 KB)
Export: BibTeX | EndNote (RIS)

Abstract ObjectiveTo investigate the clinical difference of laparoscopic hysterectomy and laparotomy in patients with uterine fibroids.MethodsFrom May 2015 to April 2017,82 patients with hysteromyoma who treated in our hospital were selected as objects.They were divided into observation group(n=41)and control group(n=41)according to random number table method.The control group was treated with open hysterectomy,and the observation group was treated with laparoscopic total hysterectomy.The operation time,bleeding volume,postoperative exhaust time,hospitalization time,FSH level and complication rate were compared between the two groups.ResultsOperation time was compared between the two groups,the difference was not statistically significant(P＞0.05),the patients in the observation group had less blood loss than the control group,the postoperative ventilation time and the hospitalization time were shorter than the control group,the differences were statistically significant(P＜0.05).Before treatment,the level of FSH was compared between the two groups,the difference was not statistically significant(P＞0.05).After treatment,the level of FSH of the patients in the observation group were compared with before treatment,the difference was statistically significant(P＜0.05).In the complication rate,the control group was much higher than the observation group,the difference was statistically significant(P＜0.05).ConclusionLaparoscopic hysterectomy compared with open surgery,it has many advantages in clinical application,to ensure the normal operation time,shorten surgery time and hospitalization time,reduce the amount of hemorrhage,improve the level of FSH,reduce the incidence of complications,can be popularized in clinical treatment.

Key words： Laparoscopy Total hysterectomy Laparotomy

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	CHEN Wei-zhong
	ZHANG Fei-fei
	HE Ling-yan

Cite this article:

CHEN Wei-zhong,ZHANG Fei-fei,HE Ling-yan. Comparative study of laparoscopic total hysterectomy and laparotomy in patients with uterine fibroids[J]. 中国当代医药, 2017, 24(29): 78-80.

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2017/V24/I29/78

[9]	刘清华，谷晓芬，伊丽努尔·伊力亚斯.腹腔镜下与开腹子宫肌瘤剔除术的临床比较研究[J].海南医学，2016，27（3）：483－485.
[10]	陈美红，张晓玲.腹腔镜子宫切除术两种手术方式疗效的比较研究[J].实用妇产科杂志，2012，28（10）：886－888.
[11]	谢家滨.腹腔镜辅助阴式全子宫切除术治疗巨大子宫肌瘤疗效观察[J].海南医学，2012，23（11）：31－32.
[12]	张德喜，冯骐，葛迎春.不同手术方式切除子宫肌瘤的临床疗效比较[J].实用妇产科杂志，2014，30（12）：950－952.
[13]	徐虹，钱小泉.腹腔镜下子宫肌瘤剔除术331例临床疗效研究[J].中国妇幼保健，2012，27（13）：2066－2067.
[1]	周隽，叶德华.腹腔镜下全子宫切除术与开腹手术应用于子宫肌瘤患者中的临床价值对比[J].湖南师范大学学报（医学版），2016，13（4）：116－118.
[2]	马俊，陈葵喜，程珊，等.腹腔镜全子宫切除术在子宫肌瘤中的临床应用[J].西部医学，2015，27（5）：779－781.
[3]	周艳.腹腔镜下子宫肌瘤剔除术与开腹手术的临床对比研究[J].实用妇科内分泌电子杂志，2016，3（8）：152－153.
[4]	赵玲，霍福利.临床护理路径应用于腹腔镜子宫肌瘤切除患者围手术期的临床效果心理状态及预后的影响[J].河北医学，2016，22（10）：1708－1711.
[5]	杜敏.腹腔镜辅助阴式全子宫切除术在巨大子宫肌瘤治疗中的应用[J].蚌埠医学院学报，2016，41（8）：1070－1071.
[6]	纪娜，赵莉，冯忻，等.腔镜下子宫肌瘤剔除术与开腹手术的临床对比分析[J].中国医学创新，2015，12（26）：42－45.
[7]	孙亚晶，张宜群.腹腔镜下与开腹子宫肌瘤剔除术的临床效果与并发症对比分析[J].中国性科学，2016，25（4）：50－52.
[8]	曹亮.腹腔镜下子宫肌瘤剔除术与开腹手术的临床疗效对比[J].中国现代药物应用，2016，10（3）：66.
[14]	汤芳梅，张小茜，王玉芳.腹腔镜手术治疗子宫肌瘤临床疗效观察[J].现代肿瘤医学，2013，21（6）：1317－1319.
[15]	龚敏.腹腔镜下子宫肌瘤剔除术治疗子宫肌瘤临床疗效观察[J].河北医学，2013，19（5）：690－692.
[16]	周磊，王猛，褚国强，等.腹横肌平面阻滞用于腹腔镜下全子宫切除+盆腔淋巴结清扫术后患者镇痛效果评价[J].中外医学研究，2016，14（27）：27－29.
[17]	黄晓艳.全子宫切除术对患者盆底功能近期影响及盆底肌肉锻炼效果的研究[J].中外医学研究，2015，13（20）：48－49.
[18]	徐静，陈艳琴，王家俊，等.盆底悬吊术与传统经阴道子宫切除术治疗盆底功能障碍性疾病的疗效对比[J].疑难病杂志，2017，16（7）：709－712.
[19]	毛炎红.海藻酸钠微球经子宫动脉栓塞术与子宫肌瘤切除术治疗多发性子宫肌瘤的临床效果及预后对比研究[J].临床和实验医学杂志，2016，15（14）：1425－1428.
[20]	陈颖.全程优质护理在腹腔镜下全子宫切除术围术期的应用[J].中外医学研究，2015，13（36）：82－84.
[21]	贾方凌.腹腔镜辅助阴式全子宫切除术治疗巨大子宫肌瘤临床研究[J].中外医学研究，2016，14（10）：111－112.