文章摘要
周安平,孙晓琴,王红.开腹、阴式以及腹腔镜子宫肌瘤剔除术临床疗效及并发症研究[J].中国医药导刊,2017,19(12):1280-1283.
开腹、阴式以及腹腔镜子宫肌瘤剔除术临床疗效及并发症研究
Clinical Efficacy and Complications of the Transabdominal,Transvaginal and Laparoscopic Myomectomy
投稿时间:2017-09-01  修订日期:2017-12-20
DOI:
中文关键词: 子宫肌瘤剔除术  阴式  开腹  腹腔镜  疗效  并发症
英文关键词: Myomectomy  Transvaginal  Laparotomy  Laparoscopic  Curative effect  Complication
基金项目:
作者单位E-mail
周安平 江苏省阜宁县人民医院妇产科 jsyc.ylc@163.com 
孙晓琴 江苏省阜宁县人民医院妇产科  
王红 江苏省阜宁县人民医院妇产科  
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中文摘要:
      目的:探讨开腹、阴式以及腹腔镜3种子宫肌瘤剔除术的临床疗效及手术并发症。方法:选取150例子宫肌瘤剔除术患者用随机数字表法分为3组,分别为开腹组、阴式组和腹腔镜组,每组患者各50例,分别予以行开腹、阴式以及腹腔镜子宫肌瘤剔除术。观察3组患者术中术后情况、术后并发症发生情况、术后疗效比较和术前术后血清C反应蛋白(CRP)水平。结果:腹腔镜组手术时间明显长于阴式组和开腹组,而肛门排气时间和住院时间则明显短于阴式组和开腹组(P<0.05)。阴式组术中出血量少于开腹组和腹腔镜组(P<0.05)。开腹组术后并发症发生率为18%,高于阴式组的8%,腹腔镜组的6%,差异有统计学意义(χ2=7.77,P<0.05)。在术后,各组的血清CRP浓度均高于术前,并且差异均有统计学意义(P<0.05);开腹组患者的术后血清CRP 浓度高于阴式组和腹腔镜组,差异有统计学意义(F=89.7,P<0.05)。结论:经阴道子宫肌瘤剔除术和腹腔镜下子宫肌瘤剔除术的手术创伤更小、手术并发症也更少。
英文摘要:
      Objective:To investigate the clinical efficacy and complications of the transabdominal, transvaginal and laparoscopic myomectomy. Methods: 150 myomectomy patients were divided into 3 groups, which were laparotormy group, transvaginal group and laparoscopic group, 50 cases in each group. They were performed transabdominal, transvaginal and laparoscopic myomectomy respectively.The intraoperative and postoperative conditions,postoperative complications, postoperative curative effect and the level of C-reactive protein (CRP) in the 3 groups were observed respectively. Results:The operation time in the laparoscopic group was significantly longer than those of the transvaginal group and the laparotomy group,while the anal exhaust time and hospitalization time in the laparoscopic group were significantly shorter than those of the transvaginal group and the laparotomy group (P<0.05).The intraoperative bleeding volume in the transvaginal group was less than those of the laparotomy group and the laparoscopic group (P<0.05). The incidence of postoperative complications in the laparotomy group was 18%, higher than 8% in the transvaginal group, 6% in the laparoscopic group,the difference was statistically significant (χ2=7.77,P<0.05). Serum CRP concentrations after surgery were significantly higher than those before surgery in all groups (P<0.05). The postoperative serum CRP levels in the laparotomy group were significantly higher than those of the other two groups, which had statistical significance(F=89.7,P<0.05). Conclusion:Transvaginal myomectomy and laparoscopic myomectomy are less invasive and have less complications, and deserve further promotion in clinical practice.
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