摘要
目的探讨经脐单孔腹腔镜子宫肌瘤剔除术(SPLM)对子宫肌瘤患者术后恢复及并发症的影响。方法选择2023年1月至2024年1月扬州大学附属医院收治的80例子宫肌瘤患者,采用随机数字表法分为两组,各40例。对照组采取传统多孔腹腔镜子宫肌瘤剔除术治疗,观察组采取经脐SPLM治疗。比较两组手术指标、疼痛程度、卵巢功能及术后并发症。结果观察组术后排气时间、住院时间较对照组短,术中出血量较对照组少,手术时间较对照组长(P<0.05);观察组术后1、2 d疼痛程度评分均低于对照组(P<0.05);两组术后黄体生成素、卵泡刺激素、窦卵泡计数及并发症总发生率比较无差异(P>0.05)。结论经脐SPLM治疗子宫肌瘤患者的效果较好,能有效缩短住院时间、术后排气时间,减少术中出血量,减轻术后腹壁切口疼痛。
Objective To investigate the effect of transumbilical single-port laparoscopic myomectomy(SPLM)on postoperative recovery and complications of patients with uterine fibroid.Methods A total of 80 patients with uterine fibroid admitted to the Affiliated Hospital of Yangzhou University from January 2023 to January 2024 were selected and divided into two groups by random number table method,with 40 cases in each group.The control group was treated with traditional multiport laparoscopic myomectomy,and the observation group was treated with transumbilical SPLM.The surgical indicators,pain degree,ovarian function and postoperative complications were compared between the two groups.Results The postoperative exhaust time and hospitalization time in the observation group were shorter than those in the control group,the intraoperative blood loss was less than that in the control group,and the operation time was longer than that in the control group(P<0.05).The pain degree scores of the observation group were lower than those of the control group at 1 and 2 days after operation(P<0.05).There were no differences in luteinizing hormone,follicle stimulating hormone,antral follicle count,and total incidence of complications between the two groups(P>0.05).Conclusion Transumbilical SPLM has a good effect in the treatment of patients with uterine fibroid,which can effectively shorten the length of hospital stay,postoperative exhaust time,reduce intraoperative blood loss,and relieve postoperative abdominal wall incision pain.
作者
胡苏婉
周金金
HU Suwan;ZHOU Jinjin(Department of Obstetrics and Gynecology,Affiliated Hospital of Yangzhou University,Jiangsu Province,Yangzhou 211500,China)
出处
《妇儿健康导刊》
2024年第23期33-36,共4页
JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE
