【摘要】 目的 探究宫腹腔镜下微创手术治疗子宫肌瘤的临床效果。方法 320例子宫肌瘤患者作为研究对象， 随机分为对照组和观察组， 各160例。对照组采用常规的开腹手术治疗， 观察组采用宫腹腔镜下微创手术治疗。比较两组患者的手术指标、并发症发生情况以及临床疗效。结果 观
察组术中出血量（69.96±2.57）ml、手术时间（77.25±3.71）min、住院时间（3.51±0.95）d优于对照组的（99.25±2.18）ml、（96.84±2.93）min、（10.64±1.28）d， 差异有统计学意义（P<0.05）。观察组并发症发生率3.12 %显著低于对照组的11.86 %， 差异有统计学意义（P<0.05）。观察组痊愈130例、有效20例、
无效10例， 治疗总有效率为93.75%;对照组痊愈100例、有效19例、无效41例， 治疗总有效率为74.38%。观察组治疗总有效率显著高于对照组， 差异有统计学意义（P<0.05）。结论 采用宫腹腔镜下微创手术治疗子宫肌瘤患者可有效减少术中出血量， 减少手术时间以及术后的恢复时间， 降低并发症发生率， 临床疗效显著， 值得推广。
【关键词】 子宫肌瘤;宫腹腔镜;微创手术;临床效果
DOI：10.14163/j.cnki.11-5547/r.2018.12.004
【Abstract】 Objective To investigate the clinical effect of laparoscopic minimally invasive surgery for the treatment of uterine myoma. Methods A total of 320 uterine myoma patients as study subjects were randomly divided into control group and observation group， with 160 cases in each group. The control group received conventional laparotomy， and the observation group received laparoscopic minimally invasive surgery. Comparison were made on surgical indicators， occurrence of complications and clinical efficacy between the two groups. Results The observation group had obviously better intraoperative bleeding volume as （69.96±2.57） ml，
operation time as （77.25±3.71） min and hospitalization time as （3.51±0.95） d than （99.25±2.18） ml，
（96.84±2.93） min and （10.64±1.28） d in the control group， and their difference was statistically significant （P<0.05）. The observation group had obviously lower incidence of complications as 3.12% than 11.86% in the control group， and the difference was statistically significant （P<0.05）. The observation group had 130 cure cases， 20 effective cases and 10 ineffective cases， with total treatment effective rate as 93.75%， which were 100， 19， 41 cases and 74.38% in the control group. The observation group had obviously higher total treatment effective rate than the control group， and the difference was statistically significant （P<0.05）. Conclusion Laparoscopic minimally invasive surgery shows remarkable clinical efficacy in treating uterine myoma， and it can effectively reduce intraoperative bleeding volume， reduce operation time and postoperative recovery time， lower incidence of complications. It is worthy of promotion.
【Key words】 Uterine myoma; Laparoscopy; Minimally invasive surgery; Clinical effect
子宫肌瘤在临床学中也被称为子宫平滑肌瘤， 属于女性生殖系统良性肿瘤。临床中常见的患者大多在30～50岁， 患者在临床中的表现主要是月经过多及经期延长， 一部分患者还会出现腹部扪及肿物， 因肌瘤压迫导致尿频、尿急或排尿困难， 若不及时进行治疗会导致肿瘤发生变性， 甚至发展成为恶性肿瘤， 对女性的身心健康造成了严重的危害[1， 2]。在过去临床中一般采用开腹手术进行治疗， 但开腹手术存在风险较大、术后并发症较多、切口容易感染、术后恢复较慢、对生育能力影响较大等缺点， 且满足不了现代女性的审美需求。随着时代的变化医学技术也在不断发展， 现代化的微创手术在临床中的应用也越来越广泛， 本研究中采用宫腹腔镜下微创手术治疗效果显著， 現报告如下。
