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目的:探讨改良腹腔镜手术治疗子宫腺肌症的可行性及安全性。方法:84例子宫腺肌症患者,采用方便抽样方法选取接受改良腹腔镜子宫体楔形切除术的40例患者作为研究组,接受传统腹腔镜全子宫切除术的44例患者作为对照组,比较两组手术情况及术后康复情况。结果:两组术中出血量、手术时间、导尿管留置时间、引流管留置时间、肛门恢复排气时间比较差异无统计学意义(P>0.05);术后研究组性生活评分、生活质量评分高于对照组(P<0.05),痛经程度评与对照组比较差异无统计学意义(P>0.05);研究组压力性尿失禁、阴道顶端脱垂、直肠膨出发生率低于对照组(P<0.05)。结论:改良腹腔镜手术治疗子宫腺肌症的治疗效果与传统腹腔镜手术相当,但患者性生活及生活质量较高,且对盆底支撑功能影响较小。
Objective: To explore the feasibility and safety of modified laparoscopic surgery for adenomyosis. Methods: Forty-four patients with adenomyosis were enrolled in this study. Forty-four patients undergoing modified laparoscopic womb resection were enrolled in this study. Forty-four patients undergoing conventional laparoscopic hysterectomy were selected as control group. Group surgery and postoperative recovery. Results: There was no significant difference in bleeding volume, operation time, catheter indwelling time, drainage tube indwelling time and anus recovery exhaust time between the two groups (P> 0.05). The postoperative study group sex life score, quality of life (P <0.05). There was no significant difference in the degree of dysmenorrhea between the two groups (P> 0.05). The incidence of stress urinary incontinence, vaginal apical prolapse and rectal prolapse in the study group was lower than that in the control group (P <0.05). Conclusion: The treatment effect of modified laparoscopic surgery on adenomyosis is equivalent to that of traditional laparoscopic surgery. However, the quality of life and quality of life of patients with elevated laparoscopic surgery are less affected by pelvic floor support.