摘要
目的 探究分析宫腔镜联合腹腔镜下微创治疗子宫肌瘤的临床效果。方法 选取2024年2月至2025年3月期间，院内子宫肌瘤患者共60例，作为此次研究对象。通过随机数表法，将60例患者随机分为对照组与观察组。对照组采用腹腔镜手术治疗，观察组采用宫腔镜联合腹腔镜手术治疗，对比两组临床相关指标和炎症因子水平。结果 观察组优于对照组，P＜0.05。结论 宫腔镜联合腹腔镜下微创治疗可显著改善患者临床相关指标和炎症因子水平，值得推广与应用。
关键词： 子宫肌瘤；宫腔镜；腹腔镜；临床相关指标；炎症因子水平
Abstract
Objective To explore and analyze the clinical efficacy of hysteroscopy combined with laparoscopic minimally invasive treatment for uterine fibroids. Methods A total of 60 patients with uterine fibroids admitted to the hospital between February 2024 and March 2025 were selected as the subjects of this study. 60 patients were randomly divided into a control group and an observation group using a random number table method. The control group was treated with laparoscopic surgery, while the observation group was treated with hysteroscopy combined with laparoscopic surgery. Clinical indicators and levels of inflammatory factors were compared between the two groups. Results The observation group was superior to the control group, P＜0.05. Conclusion The combination of hysteroscopy and laparoscopic minimally invasive treatment can significantly improve clinical indicators and levels of inflammatory factors in patients, and is worthy of promotion and application.
Key words： Uterine fibroids; Hysteroscopy; Laparoscope; Clinical related indicators; Inflammatory cytokine levels
参考文献 References
[1] 曹郑芳,吴婷婷,严康珍,等. 宫腹腔镜联合治疗子宫肌瘤的临床效果及对育龄期子宫内膜的保护研究[J].浙江创伤外科,2024,29(12):2210-2212+2261.
[2] 孙聪. 宫腔镜与腹腔镜子宫肌瘤切除术治疗子宫黏膜下肌瘤的临床效果及安全性对比分析[J].中国医疗器械信息,2024,30(18):83-85.
[3] 白军丽. 宫腔镜子宫肌瘤电切术和腹腔镜子宫肌瘤剔除术治疗子宫肌瘤的效果及安全性分析[J].大医生,2024, 9(17):12-15.
[4] 南云丽,李娜,李焕. 宫腔镜联合腹腔镜术治疗子宫肌瘤对炎症因子和手术指标的影响[J].黑龙江医药,2024, 37(03):679-681.
[5] 子宫肌瘤的诊治中国专家共识专家组.子宫肌瘤的诊治中国专家共识[J].中华妇产科杂志, 2017, 52(12):8.
[6] 毛锐. 宫腔镜联合腹腔镜下微创手术治疗子宫肌瘤的临床效果研究[J].中外医药研究,2025,4(07):48-50.
[7] 陈慧敏,晏春英. 宫腔镜电切术与腹腔镜剔除术在子宫肌瘤患者治疗中的效果对比[J].实用中西医结合临床, 2023,23(24):82-84+125.
[8] 何媛. 宫腔镜下电切与腹腔镜对子宫黏膜下肌瘤患者术后恢复及卵巢储备功能的影响[J].中国医疗器械信息,2025,31(01):139-141.
[9] 刘孟林,腹腔镜与宫腔镜施行子宫粘膜下大肌瘤切除术的应用研究.河北省,平乡县人民医院,2024-06-12.