腹腔镜与开腹全子宫切除术治疗子宫肌瘤对患者盆底肌功能及生活质量的影响

Effect of Laparoscopic and open total Hysterectomy on pelvic floor muscle function and Quality of life of patients with Hysteromyoma

目的探究腹腔镜与开腹全子宫切除术治疗子宫肌瘤对患者盆底肌功能及生活质量的影响。方法选取100例子宫肌瘤患者,按照手术方法不同分为研究组与对照组,每组50例。对照组采取经腹全子宫切除术治疗,研究组采取腹腔镜下全子宫切除术治疗。对比两组围手术期指标、性激素水平、手术前后生活质量评分、盆底肌功能障碍发生率及并发症发生情况。结果研究组手术时间、术后排气时间、术后下床活动时间及住院时间均明显短于对照组,术中出血量少于对照组,差异具有统计学意义(P<0.05)。研究组血清卵泡刺激素(FSH)、促黄体生成素(LH)水平低于对照组,雌二醇(E_(2))水平高于对照组,差异具有统计学意义(P<0.05)。研究组盆底肌功能障碍发生率为4.00%,显著低于对照组的20.00%,差异具有统计学意义(P<0.05).研究组并发症发生率为4.00%,显著低于的对照组16.00%,差异具有统计学意义(P<0.05)。结论腹腔镜下全子宫切除术治疗子宫肌瘤效果优于开腹手术,可缩短患者手术时间与住院时间,减少手术出血量,改善性激素水平,提高生活质量,提升盆底肌功能,可在临床治疗中大力推广。

Objective To investigate the effect of laparoscopic and open total hysterectomy on pelvic floor muscle function and quality of life of patients with hysteromyoma.Methods 100 patients with uterine fibroids were selected and divided into study group and control group according to different surgical methods,50 cases in each group.Total abdominal hysterectomy was performed in the control group and total laparoscopic hysterectomy was performed in the study group.Perioperative indicators,sex hormone levels,quality of life score before and after surgery,incidence of pelvic floor muscle dysfunction and complications were compared between the two groups.Results The operative time,postoperative exhaust time,postoperative ambulation time and hospitalization time of the study group were significantly shorter than that of the control group,and the intraoperative blood loss was less than that of the control group,with statistical significance(P<0.05).The levels of serum follicle stimulating hormone(FSH)and luteinizing hormone(LH)in the study group were lower than those in the control group,and the levels of estradiol(E_(2))were higher than those in the control group,with statistical significance(P<0.05).The incidence of pelvic floor muscle dysfunction in the study group was 4.00%,significantly lower than that in the control group(20.00%),and the difference was statistically significant(P<0.05).The complication rate of the study group was 4.00%,which was significantly lower than that of the control group(16.00%),with statistical significance(P<0.05).Conclusion Laparoscopic total hysterectomy is superior to laparotomy in the treatment of hysteromyoma,which can shorten the operation time and hospital stay,reduce the amount of blood loss,improve the level of sex hormones,improve the quality of life,improve the function of pelvic floor muscle,and can be widely promoted in clinical treatment.