The Feasibility and Impact on Recurrence of Multiple Uterine Fibroids Removal Using Finger Assis-ted Method Combined with Modified Single Port Laparoscopic Surgery via Umbilical Cord
[Objective]To explore the feasibility of finger assisted method combined with transumbilical modified single port laparoscopic removal of multiple uterine fibroids and its impact on recurrence.[Methods]A total of 72 patients with multiple uterine fibroids admitted to our hospital from April 2020 to April 2022 were selected and randomly divided into a control group(who underwent modified single port laparoscopic multiple uterine fibroid removal via umbilical cord)and an improved group(who underwent finger assisted method combined with modified single port laparoscopic multiple uterine fi-broid removal via umbilical cord)using a random number table method,with 36 cases in each group.Two groups of periop-erative conditions,ovarian secretion function indicators,pain scores,and incidence of complications were statistically ana-lyzed.The recurrence rate within one year after surgery was also calculated for both groups.[Results]The improved group had longer surgical time,postoperative exhaust time,and hospital stay than the control group,and had more intraoperative blood loss than the control group(P＜0.05).There was no statistically significant difference in the levels of luteinizing hormone(LH),estradiol(E2),progesterone(P),and follicle stimulating hormone(FSH)between the two groups(P＞0.05).After 1 day of surgery,the visual analog score(VAS)of the improved group was higher than that of the control group(P＜0.05);After 3 days of surgery,there was no statistically significant difference in VAS scores between the two groups(P＞0.05).There was no statistically significant difference in the total incidence of complications between the two groups(P＞0.05).The recurrence rate of the improved group was lower than that of the control group(P＜0.05).[Conclusion]The combination of finger assisted method and modified single port laparoscopic removal of multiple uterine fi-broids through the navel has a relatively small impact on ovarian function in patients,does not increase the incidence of complications,is feasible,and can reduce the recurrence rate.It is worthy of clinical promotion.
万方数据
维普
