子宫免托举在腹腔镜全子宫切除术中的应用

Application of uterine free lifting in laparoscopic hysterectomy

目的观察子宫免托举在腹腔镜全子宫切除术中的应用效果。方法抽取2018年11月至2019年7月于信阳市中心医院完成腹腔镜下子宫免托举全子宫切除术和1年随访的40例患者纳入观察组,收集同期于医院完成腹腔镜下举宫器托举全子宫切除术和1年随访的40例患者纳入对照组。统计并比较两组手术相关指标,术前及术后3个月采用盆底功能影响问卷简表7(PFIQ-7)、盆底功能障碍问卷(PFDI-20)评估记录两组盆底功能,计算并比较两组并发症发生率。结果两组术中出血量比较,差异未见统计学意义(P>0.05);观察组手术时间、住院时间均短于对照组(P<0.05);术前,两组PFIQ-7、PFDI-20评分比较,差异未见统计学意义(P>0.05);术后3个月,两组PFIQ-7、PFDI-20评分均较术前升高(P<0.05),但组间比较差异未见统计学意义(P>0.05);观察组并发症发生率低于对照组,组间比较差异未见统计学意义(P>0.05)。结论腹腔镜全子宫切除术应用子宫免托举方式可缩短手术,加速患者术后康复,且不会增加盆底功能损伤及并发症风险,安全可靠,临床应用价值高。

Objective To observe the application effect of uterine free lifting in laparoscopic total hysterectomy.Methods The 40 patients who underwent laparoscopic total hysterectomy and one-year follow-up in Xinyang Central Hospital from November 2018 to July 2019 were included in the observation group.The 40 patients who underwent hysterectomy and one-year follow-up under the microscope were included in the control group.The surgery-related indicators of the two groups were counted and compared,and the pelvic floor function impact questionnaire 7(PFIQ-7),pelvic floor dysfunction questionnaire(PFDI-20)were used to evaluate and record the pelvic floor function of the two groups before and after 3 months,the incidence of complications between the two groups were calculated and compared.Results There was no statistically significant difference in the amount of intraoperative bleeding between the two groups(P>0.05);the operation time and hospitalization time in the observation group were shorter than those in the control group(P<0.05);the PFIQ-7 and PFDI-20 scores of the two groups were compared before surgery(P>0.05);3 months after surgery,the PFIQ-7 and PFDI-20 scores of the two groups were higher than those before surgery(P<0.05),but there was no statistically significant difference between the two groups(P>0.05);the incidence of complications in the observation group was lower than that in the control group,but there was no statistically significant difference between the groups(P>0.05).Conclusions The application of uterine lifting-free method in laparoscopic total hysterectomy can shorten operation and accelerate the postoperative recovery of patients,and it will not increase the risk of pelvic floor injury and complications.