腹腔镜下全子宫切除术的临床治疗效果

Clinical treatment effect of laparoscopic total hysterectomy

目的探讨子宫肌瘤患者采用腹腔镜下全子宫切除术治疗的临床效果。方法 80例子宫肌瘤患者,采取随机数字法分为实验组和对照组,每组40例。实验组患者采用腹腔镜下全子宫切除术治疗,对照组患者采用腹腔镜辅助阴式全子宫切除术治疗。比较两组临床指标与性生活质量评分。结果实验组患者术中出血量、手术时间、肛门排气时间和住院时间均少于对照组,差异具有统计学意义(t=8.571、3.030、3.141、2.921,P<0.05)。术前,两组患者性生活质量评分比较差异无统计学意义(t=0.749,P>0.05);术后1、3个月,实验组患者性生活质量评分明显高于对照组,差异具有统计学意义(t=2.289、3.852,P<0.05)。结论腹腔镜下全子宫切除术治疗子宫肌瘤效果确切,不仅可改善患者临床指标,也可提高其性生活质量,临床应用价值极高。

Objective To discuss the clinical effect of laparoscopic total hysterectomy in the treatment of hysteromyoma patients. Methods A total of 80 hysteromyoma patients were divided by random number method into experimental group and control group, with 40 cases in each group. The experimental group received laparoscopic total hysterectomy, and the control group received laparoscopy assisted vaginal hysterectomy. Comparison were made on clinical indicators and sexual quality of life score between the two groups. Results The experimental group had less intraoperative bleeding volume, operation time, anal exhaust time and hospitalization time than the control group, and their difference was statistically significant（t=8.571, 3.030, 3.141, 2.921, P〈0.05）. Before operation, both groups had no statistically significant difference in sexual quality of life score（t=0.749, P〉0.05）. In postoperative 1 and 3 months, the experimental group had obviously higher sexual quality of life score than the control group, and the difference was statistically significant（t=2.289, 3.852, P〈0.05）. Conclusion Laparoscopic total hysterectomy shows affirmative effect in treating hysteromyoma, and it can not only improve the clinical indicators, but also improve their sexual quality of life. The clinical application value is high.