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| 腹腔镜与开腹全子宫加双侧输卵管切除术的疗效和对患者术后性生活质量影响的比较 |
| Comparison of clinical efficacy and postoperative sexual satisfaction between laparoscopic and transabdominal uterus plus bilateral salpingectomy |
| 投稿时间：2020-02-24 |
| DOI：10.3969/j.issn.1000-0399.2020.06.006 |
| 中文关键词: 腹腔镜全子宫切除术|经腹全子宫切除术|双侧输卵管切除术 |
| 英文关键词: Total laparoscopic hysterectomy|Total abdominal hysterectomy|Bilateral salpingectomy |
| 基金项目:铜陵市卫计委科研项目（项目编号：卫科研〔2016〕09），安徽省高校优秀青年人才重点项目（项目编号：gxyqZD2018028） |
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| 中文摘要: |
| 目的 探讨腹腔镜与开腹全子宫加双侧输卵管切除术对子宫疾患患者的疗效和术后性生活质量的影响。方法 选择2018年1月至2019年9月在铜陵市人民医院接受全子宫加双侧输卵管切除手术治疗的115例子宫疾患患者，根据手术方式不同将患者分为腹腔镜组（n=43）和开腹组（n=72），腹腔镜组采用腹腔镜下全子宫加双侧输卵管切除术治疗，开腹组采用传统的经腹式全子宫加双侧输卵管切除术治疗。比较两组患者手术时间、术中出血量、术后住院时间、术后通气时间、住院总费用以及阴道残端并发症与术后性生活质量等情况。结果 腹腔镜组患者术后通气时间及术后住院时间短于开腹组，术中出血量明显少于开腹组，差异均有统计学意义（P<0.05）；腹腔镜组患者手术时间长于开腹组，住院总费用高于开腹组，差异均有统计学意义（P<0.05）；腹腔镜组术后阴道残端肉芽增生发生率为7.9%，低于开腹组的29.7%，且术后性交痛和性交不适较开腹组也明显减少，差异均有统计学意义（P<0.05）。结论 腹腔镜全子宫加双侧输卵管切除术较传统开腹全子宫加双侧输卵管切除临床效果更好，患者术后性生活质量更满意，值得临床推广。 |
| 英文摘要: |
| Objective To compare the clinical efficacy and postoperative sexual satisfaction between laparoscopic and transabdominal uterus plus bilateral salpingectomy in patients with uterine diseases. Methods From Jan 2018 to Sep 2019, 115 patients with uterine diseases admitted to Tongling People's Hospital were enrolled and treated with uterus and bilateral salpingectomy by laparoscopic or transabdominal methods respectively. The patients were divided into laparoscopic group (n=43) andtransabdominal group (n=72) according to different surgical methods. The operation time, intraoperative hemorrhage, postoperative hospital stays,postoperative anal exhaust time, hospitalization cost and sexual satisfaction were compared between the two groups. Results The postoperative anal exhaust time and postoperative hospital stays of laparoscopic group were shorter than those of transabdominal group (P<0.05). The intraoperative blood loss in laparoscopic group was less than that in transabdominal group (P<0.05). The operation time of laparoscopic group was longer than that oftransabdominal group (P<0.05). The hospitalization costs of laparoscopic group were higher than those of transabdominal group (P<0.05). The incidence of granulation hyperplasia of the vaginal stump in laparoscopic group was 7.9%, which was lower than 29.7% in transabdominal group (P<0.05), and postoperative sexual intercourse pain or discomfort in laparoscopic group was also significantly reduced compared with that in transabdominal group (P<0.05). Conclusions Total laparoscopic hysterectomy plus bilateral salpingectomy has better clinical efficacy and higher postoperative sexual satisfaction, which is worth clinical promotion and application. |
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