腹腔镜下阴式全子宫切除术与经阴道全子宫切除术对子宫肌瘤患者疼痛程度及并发症的影响

Effect of laparoscopic vaginal hysterectomy and transvaginal hysterectomy on pain and complications in patients with uterine fibroids

目的探讨腹腔镜下阴式全子宫切除术与经阴道全子宫切除术对子宫肌瘤患者疼痛程度及并发症的影响。方法选取2019年1月至2022年5月于丰城市人民医院接受全子宫切除术的80例子宫肌瘤患者作为研究对象,随机分为A组与B组,每组40例。A组行经阴道全子宫切除术治疗,B组行腹腔镜下阴式全子宫切除术。比较两组手术及康复相关指标、疼痛程度、并发症发生情况、治疗满意度。结果B组手术时间短于A组,术中出血量少于A组,差异有统计学意义(P<0.05)。术后12、24、48h,两组VAS评分均低于前一时间点,差异有统计学意义(P<0.05);术后6、12、24、48h,两组VAS评分比较差异无统计学意义。B组并发症发生率为2.50%,低于A组的15.00%,差异有统计学意义(P<0.05)。B组治疗满意度为97.50%,高于A组的80.00%,差异有统计学意义(P<0.05)。结论相比于经阴道全子宫切除术,腹腔镜下阴式全子宫切除术可缩短手术时间、减少术中出血量,降低术后早期疼痛感受及并发症发生率,提升患者治疗满意度,整体治疗效果更具优势。

Objective To investigate the effect of laparoscopic vaginal hysterectomy and transvaginal hysterectomy on pain and complications in patients with uterine fibroids.Methods 80 patients with uterine fibroids who underwent total hysterectomy in Fengcheng People's Hospital from January 2019 to May 2022 were selected as the study subjects,they were randomly divided into group A and group B,with 40 cases in each group.The group A was treated with transvaginal hysterectomy,and the group B was treated with laparoscopic vaginal hysterectomy.The operation and re-habilitation related indexes,pain degree,complications and treatment satisfaction were compared between the two groups.Results The operation time in the group B was shorter than that in the group A,and the intraoperative blood loss was less than that in the group A,the differences were sta-tistically significant(P<0.05).At 12,24 and 48 h after operation,the VAS scores of the two groups were lower than those at the previous time point,and the differences were statistically significant(P<0.05);at 6,12,24,48 h after operation,there was no significant difference in VAS score be-tween the two groups.The incidence of complications in the group B was 2.50%,which was lower than 15.00%in the group A,and the difference was statistically significant(P<0.05).The treatment satisfaction in the group B was 97.50%,which was higher than 80.00%in the group A,and the difference was statistically significant(P<0.05).Conclusion Compared with transvaginal hysterectomy,laparoscopic vaginal hysterectomy can shorten the operation time,reduce the amount of intraoperative blood loss,reduce the incidence of early postoperative pain and complications,im-prove the patient's treatment satisfaction,and the overall treatment effect is more advantageous.