腹腔镜下子宫切除术治疗子宫良性病变近期随访研究

Follow-up of laparoscopic hysterectomy in treatment of uterine benign lesions

目的分析腹腔镜下子宫切除术治疗子宫良性病变患者疗效及近期随访结果。方法选取2014年8月至2016年10月本院80例子宫良性病变患者，依据治疗方案不同分为两组；观察组41例，施行腹腔镜下子宫切除术治疗，对照组39例，施行传统开腹子宫切除术治疗；记录两组手术相关指标，随访6个月，统计两组手术效果、并发症发生情况，并对比两组手术前后生活质量变化情况。结果观察组手术时间与对照组相比，差异无统计学意义（P〉0．05）；相较于对照组，观察组术中出血量、术后排气及住院时间均较少，差异均有统计学意义（均P〈0．05）；观察组手术总有效率为95．12％（39／41）高于对照组的76．92％（30／39），差异有统计学意义（P〈0．05）；两组并发症发生率相比，观察组为9．76％（4／41），低于对照组的35．90％（14／39），差异有统计学意义（P〈0．05）；观察组术前生活质量评分与对照组相比，差异无统计学意义（P〉0．05）；相较于对照组，观察组术后生活质量评分较高，差异有统计学意义（P〈0．05）。结论对子宫良性病变患者施行腹腔镜下子宫切除术治疗，可有效减少术中出血量，显著缩短术后排气及住院时间，手术效果显著、安全性较高，可明显改善患者术后生活质量。

Objective To analyze the efficacy and follow-up results of laparoscopic hysterectomy in the treatment of uterine benign lesions. Methods From August, 2014 to October, 2016, 80 cases of uterine benign lesions treated at our hospital were divided into a control group （n=39） and an observation group （n=41） according to different treatment schemes. The observation group were treated with laparoscopic hysterectomy and the control group conventional open hysterectomy. The surgical related indicators of the two groups were recorded. All the patients were followed up for 6 months. The surgical results and complications of the two groups were analyzed. The changes in quality of life before and after surgery of the two groups was compared. Results There was no statistical difference in operation time between these two groups （P 〉 0.05）. The intraoperative bleeding volume, postoperative exhaust, and hospital stay were less in the observation group than in the control group, were, with statistical differences （P 〈 0.05）. The total effective rate was 95.12% （39/41） in the observation group and 76.92% （30/39） in the control group, with a statistical difference （P 〈 0.05）. The incidence of complications was 9.76% （4/41） in the observation group and 35.90% （14/39） in the control group, with a statistical difference （P 〈 0.05）. There were no statistical differences in the scores of quality of life between these two groups before the surgery. After the surgery, the scores of quality of life were higher in the observation group than in the control group, with statistical differences （P 〈 0.05）. Conclusion Laparoscopic hysterectomy for patients with benign uterine lesions can effectively reduce intraoperative bleeding volume, significantly shorten the postoperative exhaust and hospital stay, and improve the patients quality of life after surgery and is significantly effective and safe.