腹腔镜辅助下阴式子宫切除术对非脱垂子宫切除中手术时间、出血量及应激反应水平的影响  

Influence of Laparoscopic Assisted Vaginal Hysterectomy on Operation Time,Bleeding Volume and Stress Response Level in Non-prolapsed Hysterectomy

作　　者：周振苇 陈来梅 刘莹莹 施承松 ZHOU Zhenwei;CHEN Laimei;LIU Yingying;SHI Chengsong(Fenggang Hospital of Dongguan City,Dongguan 523690,China;不详)

机构地区：[1]东莞市凤岗医院,广东东莞523690

出　　处：《中外医学研究》2020年第20期30-33,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨腹腔镜辅助下阴式子宫切除术对非脱垂子宫切除中手术时间、出血量及应激反应水平的影响。方法:选取2016年1月-2019年11月笔者所在医院接受子宫切除治疗的70例患者作为研究对象。应用信封法将其分为对照组与研究组,每组35例。对照组给予经阴子宫切除术治疗,研究组给予腹腔镜辅助下阴式子宫切除术治疗。比较两组应激反应水平、临床指标及术后并发症发生情况。结果:两组术后24 h T3、T4及TSH水平均较术前显著降低(P<0.05),但两组术后24 h T3、T4及TSH水平比较差异无统计学意义(P>0.05)。研究组术后48、72 h T3、T4及TSH水平与术前比较,差异均无统计学意义(P>0.05)。对照组术后48 h T3、T4及TSH水平与术前比较,差异有统计学意义(P<0.05);对照组术后72 h T3、T4及TSH水平与术前比较,差异无统计学意义(P>0.05)。两组术后48 h T3、T4及TSH水平比较,差异有统计学意义(P<0.05)。研究组手术时间、排气时间、住院时间、术中出血量、住院费用均优于对照组,差异有统计学意义(P<0.05)。研究组术后并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:在非脱垂子宫切除治疗中,应用腹腔镜辅助下阴式子宫切除术,可降低应激反应水平,术后并发症少,且手术时间及术中出血量少,可考虑应用。Objective:To investigate the influence of laparoscopic assisted vaginal hysterectomy on operation time,bleeding volume and stress response level in non-prolapsed hysterectomy.Method:From January 2016 to November 2019,70 patients who received hysterectomy in our hospital were selected as the study objects.They were divided into the control group and the study group by envelope method,with 35 cases in each group.The control group was treated with transvaginal hysterectomy,while the study group was treated with laparoscopic assisted vaginal hysterectomy.The stress response level,clinical indexes and postoperative complications of the two groups were compared.Result:The levels of T3,T4 and TSH in the two groups at 24 h after surgery were significantly lower than those before surgery(P<0.05),but there were no statistically significant differences in T3,T4 and TSH between the two groups at 24 h after surgery(P>0.05).In the study group,there were no statistically significant differences in T3,T4 and TSH at 48,72 h after surgery compared with those before surgery(P>0.05).The levels of T3,T4 and TSH in the control group at 48 h after surgery were statistically significant compared with those before surgery(P<0.05).In the control group,there were no statistically significant differences in T3,T4 and TSH at 72 h after surgery compared with those before surgery(P>0.05).There were significant differences in T3,T4 and TSH levels between the two groups at 48 h after surgery(P<0.05).The operation time,exhaust time and hospitalization time,intraoperative bleeding volume,and hospitalization expenses of the study group were all better than those of the control group,the differences were statistically significant(P<0.05).The incidence of postoperative complications of the study group was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:In the treatment of non-prolapsed hysterectomy,the application of laparoscopic assisted vaginal hysterectomy can reduce the stress response leve

关 键 词：腹腔镜辅助 阴式子宫切除术 非脱垂子宫切除 手术时间 出血量 

分 类 号：R713.42[医药卫生—妇产科学]