子宫肌瘤切除中单孔腹腔镜与多孔腹腔镜的治疗效果观察  

Observation on the therapeutic effect of single port laparoscopy and porous laparoscopy in myomectomy

作　　者：倪洁[1] Ni Jie(Department of Obstetrics and Gynecology,Jingjiang People's Hospital,Jingjiang 214500,China)

机构地区：[1]靖江市人民医院妇产科,江苏靖江214500

出　　处：《实用妇科内分泌电子杂志》2023年第5期9-11,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的比较在子宫肌瘤切除中选用单孔和多孔腹腔镜的临床疗效。方法选取62例子宫肌瘤患者,实施信封法分为研究组与对照组,每组31例。对照组应用多孔腹腔镜,研究组应用单孔腹腔镜。比较两组临床指标、卵巢功能及并发症发生情况。结果两组手术时间、住院时间比较,差异无统计学意义(P>0.05),研究组术中出血量少于对照组,肛门排气时间短于对照组,术后血红蛋白下降幅度小于对照组,疼痛评分、术后1个月肌瘤残留率均低于对照组,切口满意度评分高于对照组,差异有统计学意义(P<0.05)。手术前,两组卵泡刺激素(FSH)、促黄体生成素(LH)及抗苗勒管激素(AMH)水平比较,差异无统计学意义(P>0.05);手术后,研究组FSH、LH水平明显低于对照组,AMH水平高于对照组,差异具有统计学意义(P<0.05)。研究组并发症发生率0明显低于对照组的12.90%,差异具有统计学意义(P<0.05)。结论在子宫肌瘤切除中,相比多孔腹腔镜,单孔腹腔镜的应用效果更好,能够改善临床指标,对卵巢功能影响较小,降低并发症发生率,值得临床推广与应用。Objective To compare the clinical efficacy of single and porous laparoscopy in myomectomy.Methods 62 patients with uterinefibroids were selected and divided into study group and control group by envelope method,with 31 cases in each group.The control group was treated with porous laparoscopy,while the study group was treated with single pore laparoscopy.Clinical indexes,ovarian function and complications were compared between the two groups.Results There was no statistically significant difference in operation time and hospital stay between the two groups(P>0.05).The intraoperative blood loss of the study group was less than that of the control group,the anal exhaust time was shorter than that of the control group,the decrease of postoperative hemoglobin was less than that of the control group,the pain score and the residual rate offibroids one month after the operation were lower than that of the control group,and the incision satisfaction score was higher than that of the control group.The difference was statistically significant(P<0.05).Before operation,there were no significant differences in the levels of follicle stimulating hormone(FSH),luteinizing hormone(LH)and anti-Mullerian hormone(AMH)between the two groups(P>0.05).After operation,the levels of FSH and LH in the study group were significantly lower than those in the control group,and the levels of AMH were higher than those in the control group,with statistical significance(P<0.05).The complication rate of 0 in the study group was significantly lower than 12.90%in the control group,and the difference was statistically significant(P<0.05).Conclusion In the resection of uterinefibroids,compared with porous laparoscopy,single-port laparoscopy has better application effect,can improve clinical indicators,has less impact on ovarian function,and reduces the incidence of complications,so it is worthy of clinical promotion and application.

关 键 词：子宫肌瘤切除 多孔腹腔镜 单孔腹腔镜 

分 类 号：R737.33[医药卫生—肿瘤]