The application effect of laparoscopic myomectomy in patients with multiple uterine fibroids
腹腔镜子宫肌瘤剔除术在多发性子宫肌瘤患者中的应用效果

摘要

目的 探讨腹腔镜子宫肌瘤剔除术在多发性子宫肌瘤患者中的应用效果。方法 选取2023年3月至2025年8月收治的60例多发性子宫肌瘤患者，采用随机抽签法分组，各30例。对照组实施开腹子宫肌瘤剔除术，观察组实施腹腔镜子宫肌瘤剔除术。对比两组手术相关指标、术后恢复指标及并发症发生率。结果 两组手术时间、术中出血量、术后引流量对比差异无统计学意义（P＞0.05）；观察组术后排气时间、住院时间均短于对照组，术后疼痛评分低于对照组（P＜0.05）；观察组并发症发生率为6.67%，低于对照组的23.33%（P＜0.05）。结论 腹腔镜子宫肌瘤剔除术治疗多发性子宫肌瘤与开腹手术在核心手术指标上效果相当，但可显著促进术后恢复，降低并发症风险，具有临床推广价值。

Abstract

Objective To explore the application effect of laparoscopic myomectomy in patients with multiple uterine fibroids.
Methods A total of 60 patients with multiple uterine fibroids admitted from March 2023 to August 2025 were randomly divided into an observation group (laparoscopic myomectomy, n=30) and a control group (open myomectomy, n=30) using a lottery method. Surgical outcomes, postoperative recovery parameters, and complication rates were compared between the two groups.
Results There was no statistically significant difference in the operation time, intraoperative blood loss and postoperative drainage volume between the two groups (P > 0.05). The postoperative exhaust time and hospital stay in the observation group were shorter than those in the control group, and the postoperative pain score was lower than that in the control group (P<0.05). The incidence of complications in the observation group was 6.67%, which was lower than 23.33% in the control group (P<0.05).
Conclusion   Laparoscopic myomectomy for multiple uterine fibroids achieves comparable outcomes to open surgery in terms of core surgical parameters, while offering faster postoperative recovery and a lower risk of complications. Therefore, it is worthy of clinical adoption.