经腹子宫全切除术与腹腔镜下子宫全切除术治疗子宫疾病的临床效果观察  

Clinical Effect Observation of Transabdominal Total Hysterectomy and Laparoscopic Total Hysterectomy in Treatment of Uterine Diseases

作　　者：马琳[1] 严正军 Ma Lin;Yan Zhengjun(Department of Gynaecology and Obstetrics,Sheyang County People's Hospital,Yancheng 224300,Jiangsu Province,China;Department of Neurosurgery,Sheyang County People's Hospital,Yancheng 224300,Jiangsu Province,China)

机构地区：[1]盐城市射阳县人民医院妇产科,江苏盐城224300 [2]盐城市射阳县人民医院神经外科,江苏盐城224300

出　　处：《中国社区医师》2023年第31期15-17,共3页Chinese Community Doctors

摘　　要：目的:探讨经腹子宫全切除术与腹腔镜下子宫全切除术治疗子宫疾病的效果。方法:选取2019年1月—2021年12月于射阳县人民医院需行子宫全切除术的70例患者作为研究对象,采用随机数字表法分为两组,各35例。对照组采用经腹子宫全切除术治疗,观察组采用腹腔镜下子宫全切除术治疗。比较两组治疗效果。结果:观察组术中出血量少于对照组,术后首次排气时间、首次下床活动时间早于对照组,术后住院时间短于对照组,术后并发症总发生率低于对照组,差异有统计学意义(P<0.05)。术后24、48、72 h,观察组疼痛评分低于对照组,差异有统计学意义(P<0.001)。术后即刻,观察组超氧化物歧化酶(SOD)、谷胱甘肽过氧化物酶(GSH-PX)水平低于术前及同时间对照组,丙二醛(MDA)水平高于术前及同时间对照组;术后24 h,观察组SOD、GSH-PX水平高于术前及同时间观察组,MDA水平低于术前及同时间对照组,差异有统计学意义(P<0.05)。结论:相较于经腹子宫全切除术,腹腔镜下子宫全切除术在子宫疾病中的应用效果更为显著,可减少术中出血量,降低术后并发症发生率,减轻术后疼痛及氧化应激反应,促进患者恢复。Objective:To investigate the effect of transabdominal total hysterectomy and laparoscopic total hysterectomy in treatment of uterine diseases.Methods:A total of 70 patients undergoing total hysterectomy in Sheyang County People´s Hospital from January 2019 to December 2021 were selected as the study subjects.They were divided into two groups according to random number table method,with 35 cases in each group.Control group received transabdominal total hysterectomy,while observation group received laparoscopic total hysterectomy.The therapeutic effects of the two groups were compared.Results:The intraoperative blood loss in the observation group was less than that in the control group,the time of postoperative first exhaust and the time of first ambulation in the observation group were earlier than those in the control group,the postoperative hospital stay in the observation group was shorter than that in the control group,the total incidence of postoperative complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).At 24 h,48 h and 72 h after operation,the pain score in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.001).Immediately after surgery,the levels of superoxide dismutase(SOD)and glutathione peroxidase(GSH-PX)in the observation group were lower than those before surgery and those in control group at the same time,and the levels of malondialdehyde(MDA)in the observation group were higher than those before surgery and those in control group at the same time.At 24 h after operation,the levels of SOD and GSH-PX in the observation group were higher than those before surgery and those in control group at the same time,and the levels of MDA in the control group were lower than those before surgery and those in observation group at the same time,and the difference was statistically significant(P<0.05).Conclusion:Compared with transabdominal total hysterectomy,laparo

关 键 词：子宫全切除术 开腹手术 腹腔镜手术 并发症 

分 类 号：R713.42[医药卫生—妇产科学]