Analysis of the Effect of Laparoscopic Assisted Vaginal Hysterectomy in Patients with Huge Leiomyoma Uterus and Its Impact on Postoperative Re-covery
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.
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