腹腔镜全子宫切除术在子宫肌瘤中的应用研究  

Study of Laparoscopic Total Hysterectomy in Uterine Fibroids

作　　者：周波 ZHOU Bo(Department of Gynecologic Oncology,Affiliated Cancer Hospital of Guizhou Medical University,Guiyang,Guizhou Province,550004 China)

机构地区：[1]贵州医科大学附属肿瘤医院妇瘤外科,贵州贵阳550004

出　　处：《中外医疗》2023年第11期73-76,81,共5页China & Foreign Medical Treatment

摘　　要：目的研究在子宫肌瘤中采取腹腔镜下全子宫切除术(laparoscopic total hysterectomy,LTH)治疗的临床效果。方法方便选取2020年1月—2022年1月在贵州医科大学附属肿瘤医院妇瘤外科就医的86例子宫肌瘤患者,按照手术方式不同分为两组,各43例。传统组采取开腹全子宫切除术,LTH组采取LTH治疗,对比两组手术相关指标、卵巢功能、并发症发生率、疼痛程度与生活质量。结果LTH组术中失血量(102.35±11.47)mL、术后肛门排气时间(23.66±2.19)min、住院时间(4.85±1.03)d均优于传统组术中失血量(135.63±12.84)mL、术后肛门排气时间(27.98±4.16)min、住院时间(7.18±1.34)d,差异有统计学意义(t=12.675,6.026,9.040,P<0.05);术后3个月,LTH组FSH、LH指标均低于传统组,AHM指标高于传统组,差异有统计学意义(P<0.05);LTH组较传统组并发症发生率低,差异有统计学意义(P<0.05);LTH组术后12、24、48、72 h数字疼痛评分量表(NRS)评分均较传统组低,差异有统计学意义(P<0.05);术后LTH组较传统组生活质量调查表(SF-36)各项评分均更高,差异有统计学意义(P<0.05)。结论对子宫肌瘤患者给予LTH治疗,可降低并发症发生率,减轻疼痛,且对卵巢功能影响小,进而加快其术后康复速度,提升其生活质量,值得应用。Objective To study the clinical effects of laparoscopic total hysterectomy(LTH)treatment in uterine fibroids.Methods 86 patients with uterine fibroids who were treated at the Gynecologic Oncology Department of the Affiliated Cancer Hospital of Guizhou Medical University from January 2020 to January 2022 were conveniently selected and divided into two groups according to different surgical methods,with 43 patients in each group.The traditional group was taken open total hysterectomy,the LTH group was taken LTH.The surgery-related indexes,ovarian function,complication rate,pain level and quality of life were compared between the two groups.Results The intraoperative blood loss(102.35±11.47)mL,postoperative anal exhaust time(23.66±2.19)min,and hospitalization time(4.85±1.03)d in the LTH group were all better than those in the traditional group(135.63±12.84)mL,postoperative anal exhaust time(27.98±4.16)min,and hospitalization time(7.18±1.34)d,the difference was statistically significant(t=12.675,6.026,9.040,P<0.05).3 months after surgery,the FSH and LH indicators in the LTH group were lower than those in the traditional group,while the AHM indicators were higher than those in the traditional group,the difference was statistically significant(P<0.05).The incidence of complications in the LTH group was lower than that in the traditional group,and the difference was statistically significant(P<0.05).The scores of the Numerical Rating Scale(NRS)in the LTH group at 12 h,24 h,48 h,and 72 h after surgery were lower than those in the traditional group,and the difference was statistically significant(P<0.05).The postoperative LTH group had higher scores than the traditional group in terms of quality of life questionnaire(SF-36),and the difference was statistically significant(P<0.05).Conclusion LTH treatment for patients with uterine fibroids can reduce the incidence of complications,alleviate pain,and have less impact on ovarian function,thus speeding up their postoperative recovery and improving their quality of life,

关 键 词：腹腔镜下全子宫切除术 子宫肌瘤 卵巢功能 并发症 

分 类 号：R4[医药卫生—临床医学]