单孔腹腔镜下辅助阴式全子宫切除术的效果

doi:10.3969/j.issn.2095-378X.2022.02.011

外科研究与新技术 ›› 2022, Vol. 11 ›› Issue (2): 115-119.doi: 10.3969/j.issn.2095-378X.2022.02.011

单孔腹腔镜下辅助阴式全子宫切除术的效果

林燕珍, 何君怡, 麦燕红

阳江市阳东区人民医院妇产科,广东阳江 529500

收稿日期:2021-10-12 出版日期:2022-06-28 发布日期:2022-12-30
作者简介:林燕珍（1975—）,女,大学本科,副主任医师,从事临床妇产科工作;电子信箱：linyzzhenzhen@163.com

Effect of single-port laparoscopic-assisted total vaginal hysterectomy

LIN Yanzhen, HE Junyi, MAI Yanhong

Department of Obstetrics and Gynecology, Yangdong District People's Hospital of Yangjiang City, Yangjiang 529500, Guangdong, China

Received:2021-10-12 Online:2022-06-28 Published:2022-12-30

摘要/Abstract

摘要： 目的探讨单孔腹腔镜下辅助阴式全子宫切除术的效果。方法选取2018年1月—2021年4月行全子宫切除术患者60例,根据术式分为观察组（n=29）和对照组（n=31）,观察组给予单孔腹腔镜下辅助阴式全子宫切除术,对照组给予传统阴式全子宫切除,观察两组手术情况、焦虑自评量表（SAS）、抑郁自评量表（SDS）、女性性功能量表（FSFI）及视觉模拟评分（VAS）差异,检查两组手术前后血清雌二醇（E2）、卵泡生成激素（FSH）和促黄体生成素（LH）水平。结果观察组手术时间、术后排气时间分别为（93.90±11.17） min和（29.50±3.12） min,明显长于对照组（P<0.05）;观察组术后即刻、1 d和3 d时VAS评分分别为（4.10±0.97）分、（2.50±0.83）分和（1.80±0.53）分,明显低于对照组（P<0.05）;观察组术后SAS、SDS评分分别为（35.56±4.98）分和（33.87±5.95）分,明显低于对照组（P<0.05）;观察组术后3个月FSFI评分为（26.19±5.01）分,明显高于对照组（P<0.05）;观察组术后3个月E₂为（98.87±9.26） ng/L,明显高于对照组（P<0.05）,而FSH和LH分别为（8.21±1.41） U/L和（11.31±2.03） U/L,明显低于对照组（P<0.05）。结论单孔腹腔镜下辅助阴式全子宫切除术有较好的效果,患者负性情绪低,对患者性生活及卵巢功能影响小。

关键词: 单孔腹腔镜下辅助阴式全子宫切除术, 负性情绪, 性生活, 卵巢功能

Abstract: Objective To investigate the effect of single-port laparoscopic-assisted total vaginal hysterectomy. Methods Sixty patients who underwent total hysterectomy in our hospital from January 2018 to April 2021 were selected and divided into an observation group （n=29） and a control group （n=31） according to the operation method. The observation group received single-port laparoscopic-assisted total vaginal hysterectomy, while the control group received traditional total vaginal hysterectomy. The operation conditions, Self-rating Anxiety Scale （SAS） score, Self-rating Depression Scale （SDS） score, Female Sexual Function Scale （FSFI） score, and Visual Analogue Scale （VAS） score were observed and recorded of the two groups, and the levels of serum estradiol （E₂）, follicular hormone （FSH）, and luteinizing hormone （LH） were examined before and after operation. Results The operation time and postoperative exhaust time in the observation group were （93.90±11.17） min and （29.50±3.12） min, respectively, which were significantly longer than those in the control group （P<0.05）. The VAS scores of the observation group immediately, 1 d, and 3 d after surgery were （4.10±0.97）, （2.50±0.83）, and （1.80±0.53） points, respectively, which were significantly lower than those of the control group （P<0.05）. The postoperative SAS and SDS scores of the observation group were （35.56±4.98） and （33.87±5.95） points, respectively, which were significantly lower than those of the control group （P<0.05）. The FSFI score of the observation group 3 months after operation was （26.19±5.01） points, which was significantly higher than that of the control group （P<0.05）. At 3 months after operation, the E₂ level in the observation group was （98.87±9.26） ng/L, which was significantly higher than that in the control group （P<0.05）, while the FSH and LH levels were （8.21±1.41） U/L and （11.31±2.03） U/L, respectively, which were significantly lower than those in the control group （P<0.05）. Conclusion Single-port laparoscopic-assisted total vaginal hysterectomy has a good effect, producing low negative emotion and little influence on sexual life and ovarian function of patients.

Key words: Single-port laparoscopic-assisted vaginal total hysterectomy, Negative emotion, Sexual life, Ovarian function

中图分类号:

R713.4⁺2

林燕珍, 何君怡, 麦燕红. 单孔腹腔镜下辅助阴式全子宫切除术的效果[J]. 外科研究与新技术, 2022, 11(2): 115-119.

LIN Yanzhen, HE Junyi, MAI Yanhong. Effect of single-port laparoscopic-assisted total vaginal hysterectomy[J]. Surgical Research and New Technique, 2022, 11(2): 115-119.

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单孔腹腔镜下辅助阴式全子宫切除术的效果

Effect of single-port laparoscopic-assisted total vaginal hysterectomy

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