腹腔镜辅助阴式子宫切除治疗巨大子宫肌瘤的疗效及对患者肛门排气时间影响观察

Laparoscopic Assisted Vaginal Hysterectomy for the Treatment of Giant Uterine Fibroids and its Effect on Anus Exhaust Time

目的研究腹腔镜辅助阴式子宫切除医治巨大子宫肌瘤的效果。方法取本院妇产科2017年11月—2018年11月接收的66例巨大子宫肌瘤病患资料,33例行开腹子宫切除(对照组),33例行腹腔镜辅助阴式全子宫切除(研究组),予两组临床指标、术后VAS评分、并发症对比。结果研究组下床活动、肛门排气、手术所用的时间及术中出血量(0. 96±0. 20) d、(23. 31±3. 44) h、(84. 92±9. 55) min、(53. 03±9. 64) ml优于对照组(2. 24±0. 35) d、(38. 52±4. 46) h、(94. 18±11. 16) min、(71. 66±9. 78) ml,比较差异具有统计学意义(P <0. 05),且术后5 h、10 h、20 h的VAS评分(2. 87±1. 48)分、(2. 30±1. 35)分、(1. 75±0. 81)分及并发症总发生率6. 06%低于对照组(5. 79±2. 67)分、(4. 01±2. 24)分、(2. 87±1. 50)分、24. 24%,比较差异具有统计学意义(P <0. 05)。结论巨大子宫肌瘤病患行腹腔镜辅助阴式子宫切除医治可减轻术后疼痛,降低并发症发生率,并缩短下床活动、肛门排气的时间。

Objective To study the effect of laparoscopic assisted vaginal hysterectomy in the treatment of giant uterine fibroids. Methods Of the 66 patients with giant uterine fibroids hospitalized in the Department of Obstetrics and Gynecology from November 2017 to November 2018, 33 underwent open hysterectomy (control group) and the other 33 underwent laparoscopic assisted vaginal hysterectomy (study group). The clinical indicators, postoperative VAS scores, complications comparison between the two groups were compared. Results The study group’s time of bed-out activity, anal exhaust, operation and intraoperative blood loss (0.96±0.20)d,(23.31±3.44)h,(84.92±9.55)min,(53.03±9.64)ml was superior to the control group, and the difference was statistically significant,( P <0.05). And the VAS scores at 5h, 10h, and 20h after operation was (2.87±1.48),(2.30±1.35), and (1.75±0.81). The total incidence of complications and complications was 6.06%, which was lower than that of the control group, and the difference was statistically significant ( P <0.05). Conclusion The Laparoscopic assisted vaginal hysterectomy for patients with giant uterine fibroids could ease postoperative pain, reduce the incidence of complications, and shorten the time of getting out of bed and anal exhaust.