摘要
目的分析对巨大子宫肌瘤患者采用腹腔镜辅助下阴式全子宫切除术的治疗效果。方法选择50例巨大子宫肌瘤患者,根据随机数字表法分为对照组与研究组,每组25例。对照组应用传统开腹子宫切除术进行治疗,研究组应用腹腔镜辅助下阴式全子宫切除术治疗。比较两组患者的一般围术期指标、手术后并发症发生率、术后疼痛程度和炎症反应情况。结果研究组手术时间、术后的排气时间、离床活动时间以及住院时间均短于对照组,失血量少于对照组,差异均有统计学意义(P<0.05)。研究组术后并发症发生率率低于对照组,但是差异无统计学意义(P>0.05)。术前,两组白细胞介素2(IL-2)、白细胞介素6(IL-6)以及C反应蛋白(CRP)水平比较,差异无统计学意义(P>0.05);术后,研究组IL-2、IL-6、CRP水平均低于对照组,差异均有统计学意义(P<0.05)。研究组术后12、24、48 h视觉模拟评分法(VAS)评分均低于对照组,差异有统计学意义(P<0.05)。结论巨大子宫肌瘤患者采用腹腔镜阴式全子宫切除术效果较好,有助于减少术后并发症,降低手术创伤性,促进术后尽早康复并可缓解术后疼痛感,值得临床推广与应用。
Objective To analyze the therapeutic effect of laparoscope-assisted vaginal total hysterectomy for patients with large uterine fibroids.Methods A total of 50 patients with giant uterine fibroids were selected and divided into control group and study group according to random number table method,with 25 cases in each group.The control group was treated with traditional open hysterectomy,while the study group was treated with laparoscopic-assisted vaginal hysterectomy.The general perioperative indexes,postoperative complication rate,postoperative pain and inflammatory reaction were compared between the two groups.Results The operation time,postoperative exhaust time,out of bed activity time and hospital stay time of the study group were shorter than the control group,and the blood loss was less than the control group,the differences were statistically significant(P<0.05).The incidence of postoperative complications in the study group was lower than that in the control group,but the difference was not statistically significant(P>0.05).Before operation,there were no significant differences in the levels of interleukin-2(IL-2),interleukin-6(IL-6)and C-reactive protein(CRP)between two groups(P>0.05).After operation,the levels of IL-2,IL-6 and CRP in the study group were lower than those in the control group,with statistical signifi cance(P<0.05).Visual analog scale(VAS)scores of the study group were lower than those of the control group at 12,24 and 48 h after surgery,with statistical signifi cance(P<0.05).Conclusion The effect of laparoscopic vaginal total hysterectomy for patients with giant uterine fibroids is better,which is helpful to reduce postoperative complications,reduce surgical trauma,promote postoperative recovery as soon as possible and relieve postoperative pain.It is worthy of clinical promotion and application.
作者
顾晓枫
Gu Xiaofeng(Department of Obstetrics and Gynecology,Suzhou Hospital of Integrated Traditional Chinese and Western Medicine,Suzhou 215101,China)
出处
《实用妇科内分泌电子杂志》
2021年第33期35-38,共4页
Electronic Journal of Practical Gynecological Endocrinology
关键词
巨大子宫肌瘤
腹腔镜
阴式全子宫切除术
炎症反应
疼痛
Giant uterine fibroids
Laparoscopy
Total vaginal hysterectomy
An inflammatory response
The pain
