腔镜联合术式对行全子宫切除术患者手术相关指标、疼痛程度及术后并发症的影响

Influence of combined endoscopic surgery scheme on the level of operation-related indexes, pain degree and postoperative complications of patients underwent total hysterectomy

摘要:

摘要：目的??探讨腔镜联合术式对行全子宫切除术患者手术相关指标、疼痛程度及术后并发症的影响。方法?研究对象选取该院2014年5月-2017年5月收治的行全子宫切除术的患者共80例，采用随机数字表法分为对照组（40例）和观察组（40例），分别行腹腔镜辅助阴式全子宫切除术式和腔镜联合术式治疗；比较两组患者手术操作时间、术中失血量、尿管拔除所需时间、总住院时间、术后6、12及24?h视觉模拟评分（VAS）和术后并发症发生情况。结果?两组手术操作时间和术中失血量比较差异无统计学意义（P?>0.05）；观察组尿管拔除所需时间和总住院时间均明显短于对照组（P?<0.05）；观察组术后VAS评分均明显低于对照组（P?<0.05）；观察组术后并发症发生率明显低于对照组（P?<0.05）。结论?腔镜联合术式下行全子宫切除术可有效缩短术后康复所需进程，缓解机体疼痛，并有助于预防术后并发症发生，价值优于腹腔镜辅助阴式全子宫切除术式。

Abstract:

Abstract: Objective?To investigate the influence of combined endoscopic surgery scheme on the level of operation-related indexes, pain degree and postoperative complications of patients underwent total hysterectomy.?Methods?80 patients underwent total hysterectomy were chosen from May 2014 to May 2017 and randomly divided into two groups including control group (40 patients) with LAVH surgery scheme and observation group (40 patients) with combined endoscopic surgery. Then the operation time, the amount of blood loss, the catheter removal time after operation, the total hospital staying time, the VAS score in 6?h, 12?h and 24?h after operation and postoperative complications incidence of the two groups were compared.?Results?There was no significant difference in the operation time and the amount of blood loss between the two groups (P?>?0.05). The catheter removal time after operation and the total hospital staying time of observation group were significant shorter than that in control group (P?