改良微型切口腹腔镜全子宫切除术治疗妇科良性疾病40例分析

Analysis on 40 cases of benign gynecological diseases treated by improved micro-incision total laparoscopic hysterectomy

目的分析改良微型切口腹腔镜全子宫切除术治疗妇科良性疾病的临床效果。方法回顾性分析2023年6月至2024年2月中国科学技术大学附属第一医院西区(安徽省肿瘤医院)妇瘤外科收治的80例因子宫良性疾病需行全子宫切除术患者的临床资料,根据手术方式不同分为微型切口组(行改良微型切口腹腔镜全子宫切除术)和多孔组(行传统多孔腹腔镜全子宫切除术),每组40例。比较两组手术时间、术中出血量、术后肠道功能恢复时间、术后住院时间、术后疼痛评分、术后切口满意度评分以及术后并发症发生情况。结果两组手术时间、术后肠道功能恢复时间比较差异无统计学意义(P>0.05)。微型切口组术中出血量少于多孔组,术后疼痛评分低于多孔组,术后住院时间短于多孔组,差异有统计学意义(P<0.05)。微型切口组术后切口满意度评分高于多孔组,差异有统计学意义(t=4.135,P<0.001)。两组术后并发症发生率比较差异无统计学意义(χ^(2)=2.505,P=0.114)。结论改良微型切口腹腔镜全子宫切除术安全可靠,手术创伤小,术后恢复快,术后疼痛轻,患者满意度高。

Objective To analyze the clinical effect of improved micro-incision total laparoscopic hysterectomy in treatment of benign gynecological diseases.Methods The clinical data of 80 patients undergoing total hysterectomy due to benign uterine diseases in Department of Gynecologic Oncology Surgery,the First Affiliated Hospital of USTC West District(Anhui Provincial Cancer Hospital)from June 2023 to February 2024 were retrospectively analyzed.According to different surgical methods,the patients were divided into micro-incision group(receiving improved micro-incision total laparoscopic hysterectomy)and multi-port group(receiving traditional multi-port total laparoscopic hysterectomy),with 40 cases in each group.The operation time,amount of intraoperative blood loss,postoperative intestinal function recovery time and postoperative hospitalization time,postoperative pain scores,satisfaction scores regarding the incision and the occurrence of postoperative complications were compared between the two groups.Results There was no significant difference in the operation time and postoperative intestinal function recovery time between the two groups(P>0.05).Compared with the multi-port group,the micro-incision group had less amount of intraoperative blood loss,lower postoperative pain scores,shorter postoperative hospitalization time,and the differences were statistically significant(P<0.05).The satisfaction scores regarding the incision in the micro-incision group were higher than those in the multi-port group,and the differences were statistically significant(t=4.135,P<0.001).There was no significant difference in the incidence rate of postoperative complications between the two groups(χ^(2)=2.505,P=0.114).Conclusion The improved micro-incision total laparoscopic hysterectomy is safe and reliable,with small surgical trauma,fast postoperative recovery,mild postoperative pain and high patients'satisfaction.