腹腔镜引导全子宫切除术治疗子宫肌瘤的疗效及对卵巢储备功能与盆底功能的影响

Effect of Laparoscopic Guided Total Hysterectomy on Uterine Fibroids and Its Effect on Ovarian Reserve Function and Pelvic Floor Function

目的:探讨对子宫肌瘤及子宫腺肌病患者应用腹腔镜引导全子宫切除术治疗的临床疗效及对患者卵巢储备功能、盆底功能的影响。方法:抽选于2019年1月—2021年1月期间我院共收治的子宫肌瘤患者70例,按照电脑随机分配原则划分组别,即对照组、研究组,各35例。对照组接受传统开腹子宫切除术治疗,研究组接受腹腔镜引导全子宫切除术治疗。评价及对比两组的手术指标、卵巢储备功能、盆底功能。结果:研究组的术中出血量、排气时间、住院天数均少于对照组(P<0.05);研究组的各项卵巢储备功能指标均优于对照组(P<0.05);研究组的盆底并发症率低于对照组(P<0.05)。结论:对子宫肌瘤患者应用腹腔镜引导全子宫切除术治疗,手术疗效明显优于传统开腹术,可改善卵巢储备功能,且对盆底功能影响较小,是一种理想的手术选择,值得临床开展。

Objective:To investigate the clinical efficacy of laparoscopic guided total hysterectomy in patients with uterine fibroids and adenomyosis and its effect on ovarian reserve function and pelvic floor function.Methods:A total of 70 patients with uterine fibroids admitted to our hospital from January 2019 to January 2021 were selected and divided into groups according to the principle of computer random allocation,namely control group and research group,with 35 cases in each group.The control group received conventional open hysterectomy and the study group received laparoscopic guided total hysterectomy.The surgical indexes,ovarian reserve function and pelvic floor function of the two groups were evaluated and compared.Results:The amount of intraoperative blood loss,exhaust time and hospitalization days in the study group were all less than those in the control group(P<0.05).Ovarian reserve function in the study group.The indexes were better than those in the control group(P<0.05);The rate of pelvic floor complications in the study group was lower than that in the control group(P<0.05).Conclusion:Laparoscopic guided total hysterectomy for patients with uterine fibroids has significantly better surgical efficacy than traditional laparotomy,can improve ovarian reserve function,and has little effect on pelvic floor function,is an ideal surgical choice,worthy of clinical development.