摘要
目的比较经脐单孔腹腔镜子宫肌瘤剔除术(SPLM)与开腹子宫肌瘤剔除术治疗子宫肌瘤(UF)患者的临床效果。方法选取2020年1月至2023年12月濮阳油田总医院收治的60例UF患者,根据手术方法不同分成研究组(n=30)和对照组(n=30),对照组给予开腹子宫肌瘤剔除术治疗,研究组给予SPLM治疗,比较两组围手术期指标、性激素水平、生活能力、月经量、并发症。结果研究组手术时间长于对照组,术后首次下床、首次肛门排气、住院时间短于对照组,术后12 h视觉模拟评分法(VAS)评分低于对照组,差异具有统计学意义(P<0.05);两组术后1个月促卵泡素(FSH)、雌二醇(E_(2))、促黄体素(LH)水平低于术前,且研究组低于对照组,差异均有统计学意义(P<0.05);两组术后1个月日常生活活动能力(ADL)评分高于术前,且研究组高于对照组,差异均有统计学意义(P<0.05);两组术后1个月、3个月月经量低于术前,差异均有统计学意义(P<0.05),但研究组与对照组比较差异无统计学意义(P>0.05);研究组并发症发生率(3.33%)与对照组(13.33%)比较差异无统计学意义(P>0.05)。结论UF患者采用SPLM、开腹子宫肌瘤剔除术治疗均会减少月经量,安全性较高,与开腹子宫肌瘤剔除术相比,SPLM治疗手术时间较长,但会缩短术后恢复时间及住院时间,改善性激素水平及生活能力,缓解疼痛程度。
Objective To compare the clinical effects of single port laparoscopic myomectomy via umbilicus(SPLM)and open myomectomy in the treatment of patients with uterine fibroids(UF).Methods 60 patients with UF who were admitted to Puyang Oilfield General Hospital from January 2020 to December 2023 were selected.They were divided into a research group(n=30)and a control group(n=30)according to different surgical methods.The control group was treated with open myomectomy,and the research group was treated with SPLM.The perioperative indicators,hormone levels,ability to live,menstrual volume,and complications of the two groups were compared.Results The operation time of the research group was longer than that of the control group,and the first time to get out of bed,the first time to defecate,and the hospital stay after surgery were shorter than those of the control group.The visual analogue scale(VAS)score 12 hours after surgery was lower than that of the control group,and the difference was statistically significant(P<0.05).One month after surgery,the levels of follicle-stimulating hormone(FSH),estradiol(E_(2)),and luteinizing hormone(LH)in both groups were lower than before surgery,and the research group was lower than the control group,and the differences were statistically significant(P<0.05).One month after surgery,the activities of daily living(ADL)score of both groups was higher than before surgery,and the research group was higher than the control group,and the differences were statistically significant(P<0.05).One month and three months after surgery,the menstrual volume of both groups was lower than before surgery,and the differences were statistically significant(P<0.05),but there was no statistical significance between the research group and the control group(P>0.05).The incidence of complications in the research group(3.33%)was not statistically significant compared with the control group(13.33%)(P>0.05).Conclusion Both SPLM and open myomectomy can reduce menstrual volume in patients with UF,and the safety is
作者
郭子楠
王艳虹
GUO Zinan;WANG Yanhong(Department of Gynecology,Puyang Oilfield General Hospital,Puyang Henan 457001,China)
出处
《临床研究》
2024年第7期61-64,共4页
Clinical Research
