摘要
目的探讨腹腔镜下次全子宫切除术对子宫腺肌病患者术后视觉模拟(VAS)评分及并发症发生率的影响。方法选取南阳市第一人民医院2015年6月至2017年2月收治的79例子宫腺肌病患者,依据手术方式不同分组,对照组39例给予腹腔镜下全子宫切除术治疗,观察组40例予以腹腔镜下次全子宫切除术治疗,观察比较两组手术情况(手术时长、术中失血量、出院时间)及术后1个月、3个月VAS评分,并统计两组并发症发生情况及生活质量(QOL)评分。结果观察组术中失血量、手术时长及出院时间均小于对照组,差异具有统计学意义(P<0.05);术后1个月及3个月观察组VAS评分均低于对照组,差异具有统计学意义(P<0.05);观察组并发症发生率为5.00%,低于对照组23.08%,差异具有统计学意义(P<0.05);术后观察组QOL评分高于对照组,差异具有统计学意义(P<0.05)。结论腹腔镜下次全子宫切除术可缓解子宫腺肌病患者术后痛经程度,改善其生活质量,缩短手术时长及出院时间,且术中失血量少,并发症发生率低。
Objective To investigate the influence of laparoscopic subtotal hysterectomy on visual analogue（VAS）score and complication rate in patients with adenomyosis.Methods 79 cases of adenomyosis treated in Nanyang The First People＇s Hospital from June 2015 to February 2017 were selected.According to different operation methods,the control group（39 cases）received laparoscopic total hysterectomy,and the observation group（40 cases）was treated with laparoscopic subtotal hysterectomy.The operation condition（length of operation,blood loss and time of discharge）and the VAS score of 1 month and 3 months after operation were observed and compared between the two groups.The incidence of complications and quality of life（QOL）score in two groups were also counted.Results The blood loss,the length of operation and the time of discharge in the observation group were smaller than those in the control group,the difference was statistically significant（P〈0.05）.The scores of VAS in the observation group were lower than those in the control group at 1 and 3 months after operation,and the difference was statistically significant（P〈0.05）.The complication rate of the observation group was 5%（2/40）,which was lower than that of the control group 23.08%（9/39）,and the difference was statistically significant（P〈0.05）.The score of QOL in the observation group was higher than that in the control group,and the difference was statistically significant（P〈0.05）.Conclusion Laparoscopic subtotal hysterectomy can relieve dysmenorrhea in patients with adenomyosis.It can improve the quality of life,shorten the length of operation and discharge time and reduce blood loss and complication rate.
作者
陈鹤
Chen He(Department of Gynaecology,Nanyang the First People＇s Hospital,Nanyang 473000,China)
出处
《哈尔滨医药》
2018年第4期327-329,共3页
Harbin Medical Journal
