腹腔镜子宫肌瘤剥除术对患者胃肠状态、创伤后成长及生存质量的影响

Influence of Laparoscopic Myomectomy on Gastrointestinal Status,Posttraumatic Growth and Life Quality of Patients

目的:探究及分析腹腔镜子宫肌瘤剥除术对患者胃肠状态、创伤后成长及生存质量的影响。方法:将2019年3月-2021年12月上饶市妇幼保健院的100例子宫肌瘤手术患者按照随机数字表法分为两组,每组50例。对照组进行开腹子宫肌瘤剔除术治疗,观察组则进行腹腔镜子宫肌瘤剥除术治疗。比较两组的胃肠功能恢复时间(肠鸣音恢复时间、排气时间及排便时间)、手术前后的胃肠激素水平[胃动素(MTL)及胃泌素(GAS)]、创伤后成长[创伤后生长量表(PTGI量表)]及生存质量[生活质量量表(SF-36量表)]。结果:观察组的胃肠功能恢复时间均显著早于对照组,差异均有统计学意义(P<0.05),术前两组的胃肠激素水平、PTGI量表及SF-36量表评分比较,差异均无统计学意义(P>0.05),术后3 d及7 d观察组的胃肠激素水平均显著高于对照组,术后4周及8周观察组的PTGI量表显著优于对照组,术后8周观察组的SF-36量表评分显著优于对照组,差异均有统计学意义(P<0.05)。结论:腹腔镜子宫肌瘤剥除术对患者胃肠状态、创伤后成长及生存质量的不良影响相对更小,在子宫肌瘤患者中的应用价值相对更高。

Objective:To investigate and analyze the influence of laparoscopic myomectomy on gastrointestinal status,posttraumatic growth and life quality of patients.Method:A total of 100 patients with hysteromyoma surgery in Shangrao Maternal and Child Health Hospital from March 2019 to December 2021 were divided into two groups with 50 cases in each group by the random number table.The control group was treated with open myomectomy,the observation group was treated with laparoscopic myomectomy.Then the recovery time of gastrointestinal function(bowel sounds recovery time,exhaust time and defecation time),gastrointestinal hormones levels [motilin(MTL) and gastrin(GAS)],posttraumatic growth(PTGI scale) and life quality(SF-36 scale) before and after the operation of two groups were compared.Result:The recovery time of gastrointestinal function of observation group were significantly earlier than those of control group,the differences were statistically significant(P<0.05),the gastrointestinal hormones levels,PTGI scale and SF-36 scale of two groups before operation were compared,the differences were not statistically significant(P>0.05),the gastrointestinal hormones levels of observation group at 3 and 7 days after operation were significantly higher than those of control group,the PTGI scale of observation group at 4 and 8 weeks after operation were significantly better than those of control group,the SF-36 scale of observation group at 8 weeks after operation were significantly better than those of control group,the differences were statistically significant(P<0.05).Conclusion:The bad influence of laparoscopic myomectomy on gastrointestinal status,posttraumatic growth and life quality of patients is relatively less,so its application value in the patients with hysteromyoma is relatively higher.