医学临床研究
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医学临床研究  2024, Vol. 41 Issue (4): 587-589    DOI: 10.3969/j.issn.1671-7171.2024.04.030
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指助法配合经脐改良单孔腹腔镜下多发性子宫肌瘤剔除术的可行性及对复发的影响
周宁a, 闫家玲b, 胡小宁a, 宋振君a
山东省立第三医院:a.创伤与手足外科;b.脊柱脊髓外科,山东 济南 250031
The Feasibility and Impact on Recurrence of Multiple Uterine Fibroids Removal Using Finger Assisted Method Combined with Modified Single Port Laparoscopic Surgery via Umbilical Cord
ZHOU Ning, YAN Jialing, HU Xiaoning, et al
Department of Trauma and Hand and Foot Surgery , Shandong Province Third Hospital, Jinan Shandong 250031
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摘要 【目的】探讨指助法配合经脐改良单孔腹腔镜下多发性子宫肌瘤剔除术的可行性及对复发的影响。【方法】选取2020年4月至2022年4月本院收治的72例多发性子宫肌瘤患者,按照随机数字表法分为对照组(行经脐改良单孔腹腔镜下多发性子宫肌瘤剔除术)和改良组(行指助法配合经脐改良单孔腹腔镜下多发性子宫肌瘤剔除术),每组36例。统计两组围术期情况、卵巢分泌功能指标、疼痛评分和并发症发生率,统计两组术后1年内的复发情况。【结果】改良组手术时间、术后排气时间、住院时间长于对照组,术中失血量多于对照组(P<0.05)。两组促黄体生成素(luteinizing hormone,LH)、雌二醇(estedl,E2)和孕酮(progesterone,P)、卵泡刺激素(follicle stimulating hormone,FSH)水平比较,差异无统计学意义(P>0.05)。术后1 d,改良组视觉模拟评分表(visual analogue score,VAS)评分高于对照组(P<0.05);术后3 d,两组VAS评分比较,差异无统计学意义(P>0.05)。两组并发症总发生率比较,差异无统计学意义(P>0.05)。改良组复发率低于对照组(P<0.05)。【结论】指助法配合经脐改良单孔腹腔镜下多发性子宫肌瘤剔除术对患者卵巢功能影响较小,并不增加并发症发生率,可行性较高,且可降低复发率,值得临床推广。
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周宁
闫家玲
胡小宁
宋振君
关键词 子宫肌瘤切除术平滑肌瘤/外科学子宫肿瘤/外科学腹腔镜检查    
Abstract:【Objective】To explore the feasibility of finger assisted method combined with transumbilical modified single port laparoscopic removal of multiple uterine fibroids and its impact on recurrence. 【Methods】A total of 72 patients with multiple uterine fibroids admitted to our hospital from April 2020 to April 2022 were selected and randomly divided into a control group (who underwent modified single port laparoscopic multiple uterine fibroid removal via umbilical cord) and an improved group (who underwent finger assisted method combined with modified single port laparoscopic multiple uterine fibroid removal via umbilical cord) using a random number table method, with 36 cases in each group. Two groups of perioperative conditions, ovarian secretion function indicators, pain scores, and incidence of complications were statistically analyzed. The recurrence rate within one year after surgery was also calculated for both groups. 【Results】The improved group had longer surgical time, postoperative exhaust time, and hospital stay than the control group, and had more intraoperative blood loss than the control group (P<0.05). There was no statistically significant difference in the levels of luteinizing hormone (LH), estradiol (E2), progesterone (P), and follicle stimulating hormone (FSH) between the two groups (P>0.05). After 1 day of surgery, the visual analog score (VAS) of the improved group was higher than that of the control group (P<0.05); After 3 days of surgery, there was no statistically significant difference in VAS scores between the two groups (P>0.05). There was no statistically significant difference in the total incidence of complications between the two groups (P>0.05). The recurrence rate of the improved group was lower than that of the control group (P<0.05). 【Conclusion】The combination of finger assisted method and modified single port laparoscopic removal of multiple uterine fibroids through the navel has a relatively small impact on ovarian function in patients, does not increase the incidence of complications, is feasible, and can reduce the recurrence rate. It is worthy of clinical promotion.
Key wordsUterine Myomectomy    Leiomyoma/SU    Uterine Neoplasms/SU    Laparoscopy
收稿日期: 2023-02-27     
中图分类号:  R737.33  
引用本文:   
周宁, 闫家玲, 胡小宁, 宋振君. 指助法配合经脐改良单孔腹腔镜下多发性子宫肌瘤剔除术的可行性及对复发的影响[J]. 医学临床研究, 2024, 41(4): 587-589.
ZHOU Ning, YAN Jialing, HU Xiaoning, et al. The Feasibility and Impact on Recurrence of Multiple Uterine Fibroids Removal Using Finger Assisted Method Combined with Modified Single Port Laparoscopic Surgery via Umbilical Cord. JOURNAL OF CLINICAL RESEARCH, 2024, 41(4): 587-589.
链接本文:  
http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2024.04.030     或     http://journal07.magtech.org.cn/yxlcyj/CN/Y2024/V41/I4/587
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