腹腔镜下全子宫切除术治疗子宫肌瘤的效果分析

Analysis on Effect of Laparoscopic Total Hysterectomy in Treatment of Hysteromyoma

目的:分析腹腔镜下全子宫切除术治疗子宫肌瘤的效果。方法:选取2020年1月—2023年1月于南京市浦口区中心医院接受手术治疗的子宫肌瘤患者80例作为研究对象,按照随机数字表法分为对照组与试验组,各40例。对照组实施传统开腹手术,试验组实施腹腔镜下全子宫切除术。比较两组治疗效果。结果:试验组术中出血量少于对照组,手术时间、住院时间短于对照组,术后活动时间、排气时间早于对照组,差异有统计学意义(P<0.05)。术后6、12、24 h,试验组疼痛评分低于对照组,差异有统计学意义(P<0.0001)。术后,两组促卵泡激素(FSH),去甲肾上腺素(NE)、皮质醇(Cor)水平高于术前,其中试验组FSH水平高于对照组,NE、Cor水平低于对照组,差异有统计学意义(P<0.05)。试验组并发症总发生率低于对照组,差异有统计学意义(P=0.0231)。结论:腹腔镜下全子宫切除术治疗子宫肌瘤的效果显著,可减少术中出血,加速术后康复,减轻疼痛与应激反应,促进黄体功能恢复,且并发症发生率低。

Objective:To analyze the effect of laparoscopic total hysterectomy in treatment of hysteromyoma.Methods:A total of 80 patients with hysteromyoma who received surgery treatment in Nanjing Pukou Central Hospital from January 2020 to January 2023 were selected as the study subjects.They were divided into control group and experimental group according to random number table method,with 40 cases in each group.The control group underwent traditional laparotomy,and the experimental group underwent laparoscopic total hysterectomy.The treatment effects were compared between the two groups.Results:The intraoperative blood loss in the experimental group was lower than that in the control group,the operation time and hospital stay in the experimental group were shorter than those in the control group,and the postoperative activity time and exhaust time in the experimental group were earlier than those in the control group,and the difference was statistically significant(P<0.05).At 6 h,12 h and 24 h after surgery,the pain scores in the experimental group were lower than those in the control group,and the difference was statistically significant(P<0.0001).After surgery,the levels of follicle-stimulating hormone(FSH),norepinephrine(NE)and cortisol(Cor)in the two groups were higher than those before surgery,and the levels of FSH in the experimental group were higher than those in the control group,and the levels of NE and Cor in the experimental group were lower than those in the control group,and the difference was statistically significant(P<0.05).The total incidence of complications in the experimental group was lower than that in the control group,and the difference was statistically significant(P=0.0231).Conclusion:Laparoscopic total hysterectomy has a significant effect in the treatment of hysteromyoma,and can reduce intraoperative bleeding,accelerate postoperative recovery,reduce pain and stress response,promote the recovery of luteal function,and have a low complication rate.