腹腔镜下子宫全切除术治疗子宫肌瘤的临床疗效观察  

Clinical Observation of Total Laparoscopic Hysterectomy for Hysteromyoma

作　　者：陈敏[1] CHEN Min(Changshu Fifth People's Hospital,Suzhou,Jiangsu 215500,China)

机构地区：[1]常熟市第五人民医院,江苏苏州215500

出　　处：《大医生》2020年第23期45-47,共3页Doctor

摘　　要：目的观察对子宫肌瘤患者行腹腔镜下子宫全切除术(包括腹腔镜辅助下的阴式手术)的治疗效果。方法选取2017年2月至2019年10月常熟市第五人民医院收治的72例子宫肌瘤患者为研究对象,对所有患者的临床资料进行回顾性分析,根据治疗方法的不同分为对照组(D组)和研究组(Y组),每组36例。D组采取经腹子宫全切术,Y组实施腹腔镜下子宫全切除术,对两组患者的手术效果及相关指标进行比较和分析。结果Y组患者的平均手术时间、胃肠功能恢复时间、术后离床活动时间、平均住院天数、术后体温恢复时间均短于D组,术中出血量和镇痛药物使用量少于D组,术后各种并发症发生率低于D组,术后盆底功能障碍性疾病的发生率低于D组,术后3个月卵巢功能优于D组,术后生活质量评分高于D组,差异均有统计学意义(P<0.05)。结论针对子宫肌瘤患者实施腹腔镜下子宫全切除术,治疗效果显著,且能够有效降低并发症发生率,降低卵巢损伤,提高患者的生活质量,促进患者康复。Objective To observe the therapeutic effect of laparoscopic total hysterectomy in patients with uterine fibroids.Methods A total of 72 patients with uterine fibroids admitted to Changshu Fifth People's Hospital from February 2017 to October 2019 were selected as research objects.Clinical data of all patients were retrospectively analyzed.According to different treatment methods,the patients were divided into control group(group D)and study group(group Y),with 36 cases in each group.In group D,total transabdominal hysterectomy was performed,while in group Y,total laparoscopic hysterectomy was performed.Comparison and analysis were conducted on the relevant indexes of surgical effect between the two groups.Results The mean operative time,recovery time of gastrointestinal function,postoperative ambulation time,mean hospital stay,and postoperative temperature recovery time of patients in group Y were shorter than those in group D,intraoperative blood loss and analgesic drug use were less than those in group D,the incidence of various postoperative complications was lower than that in group D,the incidence of postoperative pelvic floor dysfunctional disease was lower than that in group D,and ovarian function was better than that in group D at 3 months after surgery,with postoperative.The viable mass score was higher than that of group D(P<0.05).Conclusion Laparoscopic total hysterectomy for patients with uterine fibroids has a significant effect,and can effectively reduce the incidence of complications,reduce ovarian injury,improve the quality of life of patients,and promote the rehabilitation of patients.

关 键 词：子宫肌瘤 腹腔镜 子宫全切术 发生率 

分 类 号：R73[医药卫生—肿瘤]