全免举宫腹腔镜用于全子宫切除手术治疗高级别宫颈上皮内瘤变的疗效分析  

Clinical efct of laparoscopic total hysterectomy with uterus free lifting for treating patients with high grade cervical intra-epithelial neoplasia

作　　者：黄利珊 江少如 杨海坤 侯涛 曾维红 Huang Lishan;JIANG Shaoru;Yang Haikun;HOU Tao;ZENG Weihong(Meizhou People's Hospital(Meizhou Academy of Medical Sciences),Gruangdong Medical University,Guangdong Province,514031;Guangdong Medical University,Jieyang People's Hospital)

机构地区：[1]广东医科大学,梅州市人民医院,514031 [2]广东医科大学,揭阳市人民医院

出　　处：《中国计划生育学杂志》2023年第3期706-709,共4页Chinese Journal of Family Planning

摘　　要：目的:探讨全免举宫腹腔镜用于全子宫切除术治疗高级别宫颈上皮内瘤变的效果。方法:选取2021年10月-2022年5月在本院诊断为高级别宫颈上皮内瘤变58例,依据盲抽法选取30例行全免举宫器行腹腔镜全子宫切除术为观察组,28例举宫器辅助下行腹腔镜全子宫切除术为对照组,比较两组相关指标。结果:观察组术后疼痛评分2.0(1.0~2.25)低于对照组3.0(2.0~3.75),且差异有统计学意义(P<0.05)。两组手术时间、术中及术后出血量、血红蛋白(Hb)水平、住院时间无统计学差异(P>0.05)。分析学习曲线,前15例手术时间[(105.0±31.74)min]长于后15例[(79.67±22.64)min],且差异有统计学意义(P<0.05)。结论:全免举宫腹腔镜全子宫切除术治疗高级别宫颈上皮内瘤变安全可行,至少需要15例手术才能熟练掌握全免举宫腹腔镜全子宫切除术。Objective:To observe the effect of laparoscopic total hysterectomy with uterus free lifting for treating pa-tients with high-grade cervical intraepithelial neoplasia(CIN).Methods:A total of 58 patients with high-grade CIN were selected and were divided into two groups according to the blind drawing method from October 2021 to May 2022.30 patients in observation group were given laparoscopic total hysterectomy with uterus free lifting,and 28 patients in control group were given of laparoscopic total hysterectomy with uterus lifting.The surgery related indicators of the patients were compared between the two groups.Results:The postoperative pain score(2.0,1.0-2.25)of the patients in the observation group was significantly lower than that(3.0,2.0-3.75)of the patients in the control group(P<0.05).There were no significant differences in the operation time,the intraoperative and postoperative blood loss,the hemoglobin(Hb)value,and the duration of hospital stay of the patients between the two groups(P>0.05).Analysis of the learning curve showed that the operation time(105.0±31.74 min)of the first 15 patients was significantly longer than that(79.67±22.64 min)of the later 15 patients(P<0.05).Conclusion:Laparoscopic total hysterectomy with uterus free lifting for treating the patients with high-grade CIN is safe and feasible,but which can be mastered by the surgeon after completing the surgeries at least 15 patients.

关 键 词：高级别宫颈上皮内瘤变 腹腔镜 免举宫 子宫切除术 

分 类 号：R737.33[医药卫生—肿瘤]