【摘要】 目的 分析开腹与腹腔镜子宫肌瘤剔除术对子宫肌瘤的疗效。方法 随机选取2020年1月—2022年12月淄博市妇幼保健院收治的100例子宫肌瘤患者，按随机数表法分为两组，每组50例。对照组行开腹子宫肌瘤剔除术，观察组行腹腔镜子宫肌瘤剔除术。比较两组手术相关指标，评估症状积分，检测血清雌二醇（estradiol, E2）、促卵泡素（follicle-stimulating hormone, FSH）、孕激素（progesterone, P）和促黄体素（luteinizing hormone, LH）水平，记录两组的并发症发生情况。结果 观察组术中出血量、术后体温、剔除肌瘤数目、首次排气时间、住院时间和下床活动时间均优于对照组，差异有统计学意义（P<0.05）。术后，两组患者的小腹胀痛、月经过多和乳房胀痛评分均明显降低，且观察组的评分明显低于对照组，差异有统计学意义（P<0.05）。术后，两组的血清E2、FSH、P和LH水平均明显降低，且观察组低于对照组，差异有统计学意义（P<0.05）。观察组的并发症发生率为6.00%，低于对照组的20.00%，差异有统计学意义（χ~2=4.332,P<0.05）。结论 腹腔镜子宫肌瘤剔除术具有较好的应用效果。更多还原

【Abstract】 Objective To analyze the efficacy of open abdominal and laparoscopic myomectomy for uterine fibroids.Methods 100 patients with uterine fibroids admitted to Zibo Maternal and Child Health Hospital from January 2020 to December 2022 were randomly selected and divided into two groups of 50 cases each according to the random number table method. The control group performed open uterine myomectomy, and the observation group performed laparoscopic uterine myomectomy. The surgical related indexes of the two groups were compared, symptom scores were evaluated, serum estradiol(E2), follicle stimulating hormone(FSH), progesterone(P) and luteinizing hormone(LH) levels were detected, and the occurrence of complications in the two groups was recorded. Results Intraoperative bleeding, postoperative body temperature, number of myomas removed, time to first defecation, hospitalization time and time to get out of bed in the observation group were all better than those in the control group, and the differences were statistically significant(P<0.05). After surgery, the scores of abdominal distension, menorrhagia and breast distension of patients were significantly lower in both groups, and the scores in the observation group were significantly lower than those in the control group, and the differences were statistically significant(P<0.05). After surgery, the serum E2,FSH, P and LH levels of both groups were significantly lower, and the observation group were lower than the control group, and the differences were statistically significant(P<0.05). The complication rate of the observation group was 6.00%, which was lower than 20.00% in the control group, and the difference was statistically significant(χ~2=4.332,P<0.05). Conclusion Laparoscopic myomectomy has a better application.更多还原