巨大子宫肌瘤患者行腹腔镜辅助阴式全子宫切除术的效果及对患者术后恢复情况的影响分析
Analysis of the Effect of Laparoscopic Assisted Vaginal Hysterectomy in Patients with Huge Leiomyoma Uterus and Its Impact on Postoperative Re-covery
吴子迪 1黄惠玲 1孙境亮1
作者信息
- 1. 泉州市第一医院妇产科,福建 泉州 362000
- 折叠
摘要
目的 探究腹腔镜辅助阴式全子宫切除术(laparoscopic assisted vaginal hysterectomy,LAVH)治疗巨大子宫肌瘤(huge leiomyoma uterus,HLU)的效果.方法 回顾性选取2023年1月—2024年1月泉州市第一医院收治的80例HLU患者的临床资料,按手术方案不同分为对照组、观察组,各40例.对照组行传统开腹手术,观察组行LAVH手术,比较两组围手术期相关指标、并发症发生率、性激素水平以及激素受体水平.结果 观察组手术时间长于对照组,但肛门排气、下地活动和住院时间均短于对照组,术中出血量少于对照组,差异均有统计学意义(P均<0.05).观察组并发症总发生率为5.00%(2/40),低于对照组的20.00%(8/40),差异有统计学意义(χ2=4.114,P<0.05).术后3个月,观察组促卵泡生成素、促黄体生成素水平均低于对照组,差异均有统计学意义(P均<0.05).术后3个月,观察组激素受体水平低于对照组,差异有统计学意义(P<0.05).结论 HLU患者行LAVH治疗,可优化围手术期相关指标,且对性激素水平影响较小,更利于激素受体水平调节.
Abstract
Objective To explore the effect of laparoscopic assisted vaginal hysterectomy(LAVH)in the treatment of huge leiomyoma uterus(HLU).Methods The clinical data of 80 patients with HLU admitted to Quanzhou First Hospi-tal from January 2023 to January 2024 were retrospectively selected.According to different surgical schemes,they were divided into a control group and an observation group,with 40 cases in each group.The control group underwent traditional open surgery,and the observation group underwent LAVH surgery.The perioperative related indexes,inci-dence of complications,sex hormone levels and hormone receptor levels were compared between the two groups.Re-sults The operation time of the observation group was longer than that of the control group,but the anal exhaust,sub-terranean activity and hospitalization time were shorter than that of the control group,and the intraoperative blood loss was less than that of the control group,the differences were statistically significant(all P<0.05).The total incidence of complications in the observation group was 5.00%(2/40),lower than 20.00%(8/40)in the control group,and the differ-ence was statistically significant(χ2=4.114,P<0.05).3 months after surgery,the levels of follicle stimulating hormone and luteinizing hormone in the observation group were lower than those in the control group,and the differences were statistically significant(both P<0.05).3 months after surgery,the hormone receptor level in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion LAVH treat-ment for patients with HLU can optimize perioperative related indexes,have less impact on sex hormone levels,and be more conducive to the regulation of hormone receptor levels.
关键词
巨大子宫肌瘤/腹腔镜辅助阴式全子宫切除术/术后恢复/并发症Key words
Huge leiomyoma uterus/Laparoscopic assisted vaginal hysterectomy/Postoperative recovery/Complications引用本文复制引用
出版年
2024
NETL
NSTL
万方数据