摘要
目的探讨子宫多发肌瘤患者应用经腹全子宫切除术(TAH)、腹腔镜全子宫切除术(TLH)的临床价值。方法选取2022年3月至2025年4月期间太康县人民医院收治的62例子宫多发肌瘤患者作为研究对象,基于随机数字表法将研究对象分为对照组(n=31,TAH),研究组(n=31,TLH),分析其在围手术期指标(手术时间、术中出血量、下床活动时间、住院时间)、疼痛评分[视觉模拟评分法(VAS)]、负面情绪[医院焦虑抑郁量表(HADS)]、生活质量[健康调查简表(SF-36)]以及并发症(输尿管损伤、切口感染、阴道残端出血、盆腔粘连)方面的差异。结果研究组手术时间与对照组比较,差异无统计学意义(P>0.05);研究组术中出血量、下床活动时间、住院时间均低于对照组,差异有统计学意义(P<0.05)。术后3 d,两组VAS评分均较术后1 d降低,且研究组低于对照组,差异有统计学意义(P<0.05)。术后3 d,两组HADS评分均较术前降低,且研究组低于对照组,差异有统计学意义(P<0.05)。术后3个月,两组SF-36评分均较术前显著提升,且研究组总分高于对照组,差异有统计学意义(P<0.05)。两组术后并发症发生率比较,差异无统计学意义(P>0.05)。结论TLH在子宫多发肌瘤治疗中较TAH具有更显著的微创优势,可改善围手术期指标、减轻疼痛、优化情绪状态、提升生活质量,不会加重术后并发症发生情况,值得临床应用。
Objective To explore the clinical value of total abdominal hysterectomy(TAH)and total laparoscopic hysterectomy(TLH)in patients with multiple uterine fibroids.Methods A total of 62 patients with multiple uterine fibroids admitted to Taikang County People’s Hospital from March 2022 to April 2025 were selected as the study subjects.Based on a random number table.the subjects were divided into a control group(n=31.total abdominal hysterectomy.TAH)and a study group(n=31.total laparoscopic hysterectomy.TLH).Differences were analyzed in terms of perioperative indicators(operation time.intraoperative blood loss.time to ambulation.hospital stay).pain score[Visual Analog Scale(VAS)].negative emotions[Hospital Anxiety and Depression Scale(HADS)].quality of life[36-Item Short Form Health Survey(SF-36)].and complications(ureteral injury.incision infection.vaginal cuff bleeding.pelvic adhesions).Results There was no statistically significant difference in operation time between the study group and the control group(P>0.05).The study group showed significantly lower intraoperative blood loss.time to ambulation.and hospital stay compared to the control group.with statistically significant differences(P<0.05).At 3 days postoperatively.the VAS scores of both groups were lower than those at 1 day postoperatively.and the score of the study group was lower than that of the control group.with a statistically significant difference(P<0.05).At 3 days postoperatively.the HADS scores of both groups were lower than the preoperative scores.and the score of the study group was lower than that of the control group.with a statistically significant difference(P<0.05).At 3 months postoperatively.the total SF-36 scores of both groups were significantly improved compared to the preoperative scores.and the total score of the study group was higher than that of the control group.with a statistically significant difference(P<0.05).There was no statistically significant difference in the overall postoperative complication rate between the two groups(P>0.05).Conclusion TLH shows more pronounced minimally invasive advantages than TAH in the treatment of multiple uterine fibroids.It can improve perioperative outcomes.relieve pain.optimize emotional status.and enhance quality of life without increasing postoperative complications.and is therefore worthy of clinical application.
作者
龚会
王笛
季丹伟
GONG Hui;WANG Di;JI Danwei(Gynecology Ward,Taikang County People’s Hospital,Zhoukou Henan 461400,China)
出处
《临床研究》
2026年第2期83-86,共4页
Clinical Research
关键词
子宫多发肌瘤
经腹全子宫切除术
腹腔镜全子宫切除术
围手术期
multiple uterine fibroids
total abdominal hysterectomy
total laparoscopic hysterectomy
perioperative period
