摘要
目的:探讨改良腹腔镜下外套带法在子宫良性肿瘤大子宫切除术中的临床应用。方法:选取2021年1月至2023年12月接受子宫良性肿瘤大子宫切除术的101例患者,根据手术方式分为观察组(n=43)与对照组(n=58)。观察组采用改良腹腔镜下外套带法,对照组行传统腹腔镜手术。对比分析两组患者一般资料、术中、术后及并发症情况。结果:观察组手术时间、住院时间、术后排气时间、术后排便时间、下床活动时间短于对照组,术中出血量、术后疼痛评分均少于对照组(P<0.05);两组输血率、康复治疗后患者满意率、术后并发症总发生率差异无统计学意义(P>0.05)。结论:在子宫良性肿瘤大子宫切除术中,改良腹腔镜下外套带法具有术中出血量少、住院时间短、术后排气时间与下床活动时间等优点,可作为优先选择。
Objective:To explore the clinical application of the modified laparoscopic sleeve-band technique in hysterectomy for large benign uterine tumors.Methods:A total of 101 patients who underwent large hysterectomy for benign uterine tumors from Jan.2021 to Dec.2023 were enrolled and divided into two groups according to different surgical methods:the observation group(n=43,modified laparoscopic sleeve-band technique)and the control group(n=58,conventional laparoscopic surgery).General characteristics,intraoperative outcomes,postoperative recovery,and complications were compared between the two groups.Results:The observation group showed significantly shorter operative time,hospital stay,postoperative time to first flatus,time to first defecation,and time to ambulation,as well as less intraoperative blood loss and lower postoperative pain scores.There was no significant difference in blood transfusion rate,patient satisfaction rates after rehabilitation,or overall complication rates between the two groups(P>0.05).Conclusions:The modified laparoscopic sleeve-band technique is superior to conventional laparoscopy for large benign uterine tumors,with advantages including reduced intraoperative blood loss,shorter hospital stay,shorter postoperative exhaust time,and earlier ambulation,and thus can be prioritized as a surgical option.
作者
冉林
田勇
蒋杰
刘璐
连照安
秦丽
RAN Lin;TIAN Yong;JIANG Jie(Department of Obstetrics and Gynecology,Central Hospital of Enshi Tujia and Miao Autonomous Prefecture,Enshi 445000,China)
出处
《腹腔镜外科杂志》
2025年第6期465-470,共6页
Journal of Laparoscopic Surgery
关键词
子宫良性肿瘤
子宫切除术
腹腔镜检查
外套带法
疗效比较研究
Benign uterine tumors
Hysterectomy
Laparoscopy
sleeve-band method
Comparative effectiveness research
