摘要
目的探讨腹腔镜子宫肌瘤剔除术(LM)与开腹子宫肌瘤剔除术(TAM)两种不同术式治疗后患者肌瘤残留、复发及妊娠结局。方法重庆市北碚区中医院行子宫肌瘤剔除术治疗患者153例,其中LM治疗97例(LM组),TAM治疗56例(TAM组)。结果 LM组以浆膜下肌瘤为主,TAM组以肌壁间子宫肌瘤为主,两组肌瘤类型明显不同(P<0.05);最大子宫肌瘤直径及剔除子宫肌瘤数目TAM组大于LM组(P<0.05);术中出血量、手术时间、住院时间TAM组大于LM组(P<0.05);子宫肌瘤数目<4个肌瘤残留率及复发率小于子宫肌瘤数目≥4个的患者,但差异无统计学意义(P>0.05),术后妊娠率LM组35.29%,TAM组13.04%,两组差异具有统计学意义(P<0.05)。结论 LM与TAM术后肌瘤残留及复发率均较为相近,多发性子宫肌瘤是导致残留及复发的主要危险因素,LM术后妊娠率明显高于TAM。
Objective To compare the surgical fibroids residue, recurrence and pregnancy outcome between laparoscopic myomectomy（LM） and open myomectomy （TAM）. Methods Among the 153 cases of myomeetomy treatment, LM for 97 cases （ LM group）, and TAM therapy of 56 patients （TAM group）. Results LM group in subserosal fibroids was given priority to, TAM group to muscle intramural uterine fibroids was given priority to, two groups of fibroids types were significantly different （ P 〈 0.05 ） ; the biggest uterine fibroids diameter and eliminate the uterine fibroids number in TAM group were more than those in LM group （P 〈 0.05 ） ;during the operation, the amount of bleeding, operation time, the length of time the in TAM group were more than those in LM group （ P 〈 0.05 ） ; Uterine fibroids number 4 fibroids residual rate and the recurrence rate was less than the number of uterine fibroids or four patients, but with no statistical significance （ P 〉 0.05 ）, the pregnancy rate of LM group was 35.29% ,TAM group was 13.04% , two groups had statistical significance difference （ P 〈 0.05 ）. Conclusion LM and TAM postoperative residual myoma and recurrence rates were relatively close, multiple uterine fibroids in residual and recurrence of ma- jor risk factors, LM postoperative pregnancy rate was obviously higher than that of the TAM.
出处
《中华全科医学》
2013年第7期1063-1064,共2页
Chinese Journal of General Practice
