腹腔镜子宫肌瘤切除手术难度评分系统在腹腔镜子宫肌瘤切除手术中应用评估
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摘要
目的:评估腹腔镜子宫肌瘤切除手术难度评分系统在腹腔镜子宫肌瘤切除手术中应用效果。方法:采用随机数字表法选取我院100例采用腹腔镜切除子宫肌瘤的患者,采用手术难度评分系统评估,根据不同得分按照等级分组,观察并比较各组患者手术的临床效果。结果:采用腹腔镜子宫肌瘤切除手术难度评分系统进行评分<5分组,5~7分组,≥8分组进行腹腔镜子宫肌瘤切除手术所用时间,术前术后血红蛋白变化值,术后肛门排气所用时间有明显差异,评分<5分组手术时间≤100min者占(68.89%),5~7分组手术时间≤100min者占(35.00%),≥8分组手术时间≤100min者占(35.00%),具有明显差异,统计学上有意义(P<0.05)。结论:腹腔镜子宫肌瘤切除手术难度评分系统在腹腔镜子宫肌瘤切除手术中具有指导价值,评分越低手术难度越低,了解手术难易程度有助于手术成功进行,应该在临床上广泛应用。
Objectives: To evaluate the application of laparoscopic myomectomy operation difficulty scoring system in laparoscopic myomectomy. Methods: 100 patients received laparoscopic resection of uterine leiomyoma in our hospital were randomly selected and evaluated with the difficulty scoring system. Groups were divided according to the different score,and the clinical effects of patients in each group were observed and compared. Results: There was significant difference in the operation time,value of hemoglobin changes before and after surgery,postoperative exhaust time between groups whose scores of the laparoscopic myomectomy operation difficulty scoring system were <5,5 ~ 7 and ≥ 8. For score < 5 group,5 ~ 7 group and ≥ 8 group,the patients with operation time ≤ 100 minutes accounted for( 68. 89%),( 35%) and( 35%) respectively,with a statistically significant difference( P < 0. 05).Conclusion: The laparoscopic myomectomy operation difficulty scoring system has reference value in laparoscopic myomectomy,lower scores coming with lower operation difficulty. To understand the operation difficulty contributes to the success of operation,which should be widely applied in clinical practice.
Objectives: To evaluate the application of laparoscopic myomectomy operation difficulty scoring system in laparoscopic myomectomy. Methods: 100 patients received laparoscopic resection of uterine leiomyoma in our hospital were randomly selected and evaluated with the difficulty scoring system. Groups were divided according to the different score,and the clinical effects of patients in each group were observed and compared. Results: There was significant difference in the operation time,value of hemoglobin changes before and after surgery,postoperative exhaust time between groups whose scores of the laparoscopic myomectomy operation difficulty scoring system were <5,5 ~ 7 and ≥ 8. For score < 5 group,5 ~ 7 group and ≥ 8 group,the patients with operation time ≤ 100 minutes accounted for( 68. 89%),( 35%) and( 35%) respectively,with a statistically significant difference( P < 0. 05).Conclusion: The laparoscopic myomectomy operation difficulty scoring system has reference value in laparoscopic myomectomy,lower scores coming with lower operation difficulty. To understand the operation difficulty contributes to the success of operation,which should be widely applied in clinical practice.
引文
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[14]Kim JJ,Kurita T,Bulun SE.et al.Progesterone action in endometrial cancer,endometriosis,uterine fibroids,and breast cancer.2013,34(1):130-162.
[15]冯怡辰,李敏,韩英,等.修改后的手术难度评分系统在腹腔镜下子宫肌瘤切除术中的临床应用.中国妇产科临床杂志,2013,14(2):163-166.
[2]He Y,Zeng Q,Dong S,et al.Associations between uterine fibroids and lifestyles including diet,physical activity and stress:a case-control study in China.Asia Pac J Clin Nutr,2013,22(1):109-117.
[3]Hoellen F,Griesinger G,Bohlmann MK.Therapeutic drugs in the treatment of symptomatic uterine fibroids.Expert Opin Pharmacother,2013,14(15):2079-2085.
[4]Sabry M,Al-Hendy A.Medical treatment of uterine leiomyoma.Reprod Sci.2012,19(4):339-353.
[5]喻晓琴.腹腔镜下子宫肌瘤剔除术与开腹子宫肌瘤剔除术临床疗效分析.中国性科学,2013,23(5):30-31.
[6]吴凡,肖静,欧爱华.改良腹腔镜下子宫肌瘤剔除术手术难度评分系统的应用价值探讨.妇产与遗传(电子版),2012,2(4):27-31.
[7]辛亚兰,王卡娜,何荣霞,等.4396例已婚妇女妇科病患病情况研究.现代预防医学,2011,38(4):630~632.
[8]聂晓伟,谈勇,钱云.中国妇女子宫肌瘤、卵巢囊肿患病率的荟萃分析.辽宁中医药大学学报,2012,14(4):48-50.
[9]夏春玲,杨丽,杨清,等.经脐单孔腹腔镜全子宫切除术和传统腹腔镜全子宫切除术的临床护理措施比较.中国医科大学学报,2012,10(41):958-960.
[10]郎雁,王燕,段洁,等.开腹与腹腔镜子宫肌瘤剔除术临床分析.实用预防医学,2011,18(5):863-864.
[11]余霞.米非司酮与桂枝茯苓胶囊联合治疗子宫肌瘤临床疗效及安全性研究.中国性科学,2012,21(9):29-32.
[12]毛丽伟.子宫全切术与次全切除术对子宫肌瘤患者性生活的影响.中国性科学,2013,23(5):25-27.
[13]Bohlmann MK,Hoellen F,Hunold P,et al.High-intensity focused ultrasound ablation of uterine fibroids-potential impact on fertility and pregnancy outcome.Geburtshilfe Frauenheilkd,2014,74(2):139-145.
[14]Kim JJ,Kurita T,Bulun SE.et al.Progesterone action in endometrial cancer,endometriosis,uterine fibroids,and breast cancer.2013,34(1):130-162.
[15]冯怡辰,李敏,韩英,等.修改后的手术难度评分系统在腹腔镜下子宫肌瘤切除术中的临床应用.中国妇产科临床杂志,2013,14(2):163-166.