手术方式对恶性潜能未定型子宫平滑肌肿瘤复发率的影响

曹晓霞

（陕西省榆林市中医院·北方医院妇产科，陕西 榆林，719000）

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摘要：

目的 观察手术方式对恶性潜能未定型子宫平滑肌肿瘤复发率的影响。方法 选取我院收治的30 例恶性潜能未定型子 宫平滑肌肿瘤患者为研究对象，根据治疗方法不同分为对照组（n=12）和观察组（n=18）。对照组患者给予经腹子宫肿物切除 术治疗，观察组患者给予腹腔镜肿物切除术治疗。观察两组的临床效果。结果 观察组的治疗总有效率为94.44%，显著高于对 照组的75.00%（P<0.05）；与对照组比较，观察组手术时间、术中出血量、住院时间及下床活动时间明显更优（P<0.05）；观察组 复发率明显低于对照组（P<0.05）。结论 采用腹腔镜下肿物切除治疗恶性潜能未定型子宫平滑肌肿瘤，临床效果优于经腹子 宫肿物切除，复发率低，值得临床推广应用。

关键词：腹腔镜；肿物切除；恶性潜能未定型子宫平滑肌瘤

中图分类号：R737.33 文献标志码：A文章编号：2096-1413(2018)03-0081-02

Effect of surgical modes on recurrence rate of uncertain malignant potential uterine smooth muscle tumor
CAO Xiao-xia
(Obstetrics and Gynecology Department, Traditional Chinese Medicine Hospital of Yulin/North Hospital,
Yulin 719000, China)

ABSTRACT: Objective To observe the effect of surgical modes on recurrence rate of uterine smooth muscle tumor of uncertain malignant potential. Methods Thirty patients with uterine smooth muscle tumor of uncertain malignant potential admitted in our hospital were selected and divided into control group (n=12) and observation group (n=18) according to different treatment methods. The control group received abdominal uterine tumor resection, and the observation group accepted laparoscopic tumor resection. The clinical effects of the two groups were compared. Results The total effective rate of the observation group was 94.44%, which was significantly higher than 75.00% of the control group (P<0.05). Compared with the control group, the operation time, intraoperative blood loss, hospitalization time and out of bed activity time in the observation group were significantly better (P<0.05). The recurrence rate of the observation group was significantly lower than that of the control group (P<0.05). Conclusion Using laparoscopic tumor resection for the treatment of uterine smooth muscle tumor of uncertain malignant potential has better clinical effect than the abdominal uterine tumor resection, it has low recurrence rate, which is worthy of clinical application.
KEYWORDS: laparoscopy; tumor resection; uncertain malignant potential uterine smooth muscle tumor

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