[1]张晓青.腹腔镜子宫肌瘤剔除术与经腹子宫肌瘤剔除术对子宫肌瘤患者术后妊娠的影响[J].医学信息,2022,35(20):102-104.[doi:10.3969/j.issn.1006-1959.2022.20.027]
　ZHANG Xiao-qing.Effect of Laparoscopic Myomectomy and Transabdominal Myomectomy on Postoperative Pregnancy in Patients with Hysteromyoma[J].Journal of Medical Information,2022,35(20):102-104.[doi:10.3969/j.issn.1006-1959.2022.20.027]
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腹腔镜子宫肌瘤剔除术与经腹子宫肌瘤剔除术对子宫肌瘤患者术后妊娠的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年20期
页码:
102-104
栏目:
临床研究
出版日期:
2022-10-15

文章信息/Info

Title:
Effect of Laparoscopic Myomectomy and Transabdominal Myomectomy on Postoperative Pregnancy in Patients with Hysteromyoma
文章编号:
1006-1959（2022）20-0102-03
作者:
张晓青
（余干县中医院妇产科，江西 余干 335100）
Author(s):
ZHANG Xiao-qing
(Department of Obstetrics and Gynecology,Yugan County Hospital of Traditional Chinese Medicine,Yugan 335100,Jiangxi,China)
关键词:
子宫肌瘤; 腹腔镜子宫肌瘤剔除术; 卵巢功能; 术后妊娠; 盆腔粘连
Keywords:
hysteromyoma; Laparoscopic myomectomy; Ovarian function; Postoperative pregnancy; Pelvic adhesions
分类号:
R737.33
DOI:
10.3969/j.issn.1006-1959.2022.20.027
文献标志码:
A
摘要:
目的 研究腹腔镜子宫肌瘤剔除术（LM）与经腹子宫肌瘤剔除术（TAM）对子宫肌瘤患者术后妊娠的影响。方法 选取2018年9月-2020年9月余干县中医院收治的68例子宫肌瘤患者，按照治疗方案不同分为TAM组（TAM治疗，34例）与LM组（LM治疗，34例），比较两组术后并发症情况、术后盆腔粘连、肌瘤残留及复发情况、血清卵巢功能指标[雌二醇（E2）、黄体生成素（FSH）、促黄体生成素（LH）]、术后妊娠情况。结果 LM组术后并发症发生率为8.82%，低于TAM组的32.35%（P＜0.05）；LM组术后盆腔粘连发生率低于TAM组（P＜0.05），但两组肌瘤残留、复发情况比较，差异无统计学意义（P＞0.05）；LM组血清E2水平高于TAM组，FSH、LH水平低于TAM组（P＜0.05）；两组术后妊娠率、流产率比较，差异无统计学意义（P＞0.05），但LM组术后妊娠时间短于TAM组（P＜0.05）。结论 LM与TAM均可改善子宫肌瘤患者的术后妊娠情况，但LM术后并发症少、盆腔粘连率低，且对卵巢功能的影响更小，其术后妊娠时间更短。
Abstract:
Objective To study the effect of laparoscopic myomectomy (LM) and transabdominal myomectomy (TAM) on postoperative pregnancy in patients with hysteromyoma.Methods A total of 68 patients with hysteromyoma admitted to Yugan County Hospital of Traditional Chinese Medicine from September 2018 to September 2020 were selected and divided into TAM group (TAM treatment, 34 cases) and LM group (LM treatment, 34 cases) according to different treatment schemes. The postoperative complications, postoperative pelvic adhesions, residual and recurrence of fibroids, serum ovarian function indicators [estradiol (E2), luteinizing hormone (FSH), luteinizing hormone (LH)] and postoperative pregnancy were compared between the two groups.Results The incidence of postoperative complications in LM group was 8.82%, which was lower than 32.35% in TAM group (P<0.05). The incidence of postoperative pelvic adhesion in LM group was lower than that in TAM group (P<0.05), but there was no significant difference in residual and recurrence of myoma between the two groups (P>0.05). The serum E2 level in the LM group was higher than that in the TAM group, and the FSH and LH levels were lower than those in the TAM group (P<0.05). There was no significant difference in postoperative pregnancy rate and abortion rate between the two groups (P>0.05), but the postoperative pregnancy time in LM group was shorter than that in TAM group (P<0.05).Conclusion Both LM and TAM can improve postoperative pregnancy in patients with hysteromyoma, but LM has less postoperative complications, lower pelvic adhesion rate, less impact on ovarian function, and shorter postoperative pregnancy time.

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更新日期/Last Update: 1900-01-01