改良腹腔镜手术治疗子宫腺肌症的可行性及安全性研究

目的:探讨改良腹腔镜手术治疗子宫腺肌症的可行性及安全性。方法:84例子宫腺肌症患者,采用方便抽样方法选取接受改良腹腔镜子宫体楔形切除术的40例患者作为研究组,接受传统腹腔镜全子宫切除术的44例患者作为对照组,比较两组手术情况及术后康复情况。结果:两组术中出血量、手术时间、导尿管留置时间、引流管留置时间、肛门恢复排气时间比较差异无统计学意义(P0.05);术后研究组性生活评分、生活质量评分高于对照组(P0.05),痛经程度评与对照组比较差异无统计学意义(P0.05);研究组压力性尿失禁、阴道顶端脱垂、直肠膨出发生率低于对照组(P0.05)。结论:改良腹腔镜手术治疗子宫腺肌症的治疗效果与传统腹腔镜手术相当,但患者性生活及生活质量较高,且对盆底支撑功能影响较小。

Feasibility and Safety of Modified Laparoscopic Surgery in the Treatment ofAdenomyosis

Objective:To investigate the feasibility and safety of improved laparoscopic surgery for adenomyosis of uterus.Methods:Among the 84 cases of uterine adenomyosis patients admitted in hospital, we selected by convenience sampling method 40 patients whoaccepted the modified laparoscopic uterine wedge resection as a study group, and 44 patients who accepted conventional laparoscopichysterectomy surgery as the control group. We compared the surgery and postoperative rehabilitation situation between the two groups.Results:There were no statistical difference in blood loss during operation, operative time, catheterization time, drainage tube indwellingtime, anal exhaust recovery time between the two groups (P>0.05). After operation, the scores of sexual life and life quality of the studygroup were higher than those of the control group (P<0.05). The dysmenorrhea assessment score showed no significant difference betweenthe two groups (P>0.05). In study group, the incidences of stress urinary incontinence, top vaginal prolapsed and rectal prolapsewere lower than in control group (P<0.05).Conclusion:The modified laparoscopic surgery had relatively equal curative effect for uterineadenomyosis with the conventional laparoscopic surgery, but a better sexual life and higher quality of life, and less impact on the pelvicfloor support functions for patients.