Efficacy Analysis of Laparoscopic Myomectomy and Open Myomectomy in the Treatment of Uterine Fibroids

Yaqin Yang, Liping Zhao
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Abstract

Objective: To compare and analyze the effects of myomectomy by laparotomy and laparoscopy for uterine fibroids. Methods: 60 patients with uterine fibroids treated in the past 3 years (January 2020 to December 2022) were randomly divided into two groups according to the surgical plans, with 30 cases in each group. Patients in the control group underwent laparotomy, whereas those in the observation group underwent laparoscopic surgery. The effects were compared and analyzed. Results: Compared with the control group, the observation group had shorter surgery, time to first passage of flatus, and hospital stay; less intraoperative blood loss; lower complication rate; and higher postoperative quality-of-life score (P < 0.05). Although there was no significant difference between the two groups in terms of substance P (SP), interleukin 6 (IL-6), and prostaglandin E2 (PGE2) before surgery (P > 0.05), there was an increase in each index after surgery, but the increase in the observation group was less, as compared to the control group; the observation group had significantly lower levels of each index (P < 0.05). Conclusion: There are two common surgical approaches for myomectomy, laparotomy and laparoscopy. In comparison, the laparoscopic approach, a minimally invasive procedure, can optimize surgery-related indicators, reduce surgical trauma response, and reduce complications. It benefits patients by delivering favorable surgical outcomes and improving postoperative quality of life.
腹腔镜子宫肌瘤切除术与开放式子宫肌瘤切除术治疗子宫肌瘤的疗效分析
目的:比较分析剖腹与腹腔镜子宫肌瘤切除术治疗子宫肌瘤的效果。方法:选取近3年(2020年1月~ 2022年12月)收治的60例子宫肌瘤患者,根据手术方案随机分为两组,每组30例。对照组患者行剖腹手术,观察组患者行腹腔镜手术。并对其效果进行了比较分析。结果:与对照组比较,观察组患者手术时间短、首次排气时间短、住院时间短;术中出血量少;并发症发生率低;术后生活质量评分较高(P < 0.05)。两组患者P物质(SP)、白细胞介素6 (IL-6)、前列腺素E2 (PGE2)术前比较差异无统计学意义(P < 0.05),但术后各项指标均有升高,但观察组升高幅度小于对照组;观察组患者各项指标水平均显著低于对照组(P < 0.05)。结论:子宫肌瘤切除术有开腹和腹腔镜两种常用手术入路。相比之下,腹腔镜手术作为一种微创手术,可以优化手术相关指标,减少手术创伤反应,减少并发症。它通过提供良好的手术结果和改善术后生活质量使患者受益。
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