摘要
目的探讨腹腔镜下原位旋切剔除术治疗子宫肌瘤的临床效果。方法选取78例子宫肌瘤患者,按照随机数字表法分为对照组与试验组,各39例。对照组予以腹腔镜下子宫肌瘤剔除术治疗,试验组予以腹腔镜下原位旋切剔除术治疗。比较两组手术情况、应激反应指标、疼痛评分、复发率及并发症发生情况。结果试验组手术时间、排气时间、下床活动时间及住院时间均明显短于对照组,出血量少于对照组,差异有统计学意义(P<0.05)。试验组术后血管紧张素Ⅱ(AngⅡ)[(239.54±24.51)ng/L]、去甲肾上腺素(NE)水平[(264.41±27.41)ng/ml]低于对照组[(274.68±28.79)ng/L、(294.39±29.54)ng/ml],术后2 h、6 h、24 h疼痛评分[(2.88±0.29)、(2.08±0.25)、(1.45±0.22)分]均低于对照组[(3.27±0.35)、(2.54±0.28)、(1.89±0.24)分],差异有统计学意义(P<0.05)。两组复发率、并发症发生率比较,差异无统计学意义(P>0.05)。结论腹腔镜下原位旋切剔除术治疗子宫肌瘤效果更佳,能减轻手术损伤及应激反应,减少术中出血量,缩短术后排气时间,安全可靠。
Objective To investigate the clinical effect of laparoscopic in situ rotary excision in the treatment of uterine fibroids.Methods 78 patients with uterine fibroids were selected and divided into control group and experimental group according to the random number table method,39 cases in each group.The control group was treated with laparoscopic myomectomy,and the experimental group was treated with laparoscopic in situ rotation resection.The operation,stress response index,pain score,recurrence rate and complications were compared between the two groups.Results The operation time,exhaust time,ambulation time and hospital stay of the experimental group were significantly shorter than those of the control group,and the amount of blood loss was less than that of the control group,and the differences were statistically significant(P<0.05).The levels of angiotensinⅡ(AngⅡ)[(239.54±24.51)ng/L]and norepinephrine(NE)[(264.41±27.41)ng/ml]in the experimental group were lower than those in the control group[(274.68±28.79)ng/L,(294.39±29.54)ng/ml].The pain scores at 2 h,6 h and 24 h after operation[(2.88±0.29),(2.08±0.25),(1.45±0.22)points]were lower than those in the control group[(3.27±0.35),(2.54±0.28),(1.89±0.24)points],and the differences were statistically significant(P<0.05).There was no significant difference in recurrence rate and complication rate between the two groups(P>0.05).Conclusion Laparoscopic in situ rotary excision and removal is more effective in the treatment of uterine fibroids,which can reduce surgical injury and stress response,reduce intraoperative blood loss,shorten postoperative exhaust time,and is safe and reliable.
作者
邱萍
Qiu Ping(Department of Gynecology,Jingjiang People's Hospital,Jingjiang 214500,China)
出处
《实用妇科内分泌电子杂志》
2022年第13期26-28,共3页
Electronic Journal of Practical Gynecological Endocrinology
