文章摘要

腹腔镜子宫肌瘤剔除术后生活质量与手术情况、主诉症状的相关性

作者: 1胡芳, 1华达, 1葛永勤, 1赵莎莎
1 无锡市妇幼保健院妇产科,江苏 无锡 214000
通讯: 华达 Email: 1054722362@qq.com
DOI: 10.3978/j.issn.2095-6959.2021.07.016

摘要

目的:探讨腹腔镜子宫肌瘤剔除术后生活质量与手术情况、主诉症状的相关性。方法:选择2018年1月至2019年1月无锡市妇幼保健院收治的行腹腔镜子宫肌瘤剔除术患者112例,对所有患者的临床资料进行回顾性分析,采用欧洲五维健康量表(European Five-Dimensional Health Scale,EQ-5D-5L)评价患者术后第3天、第7天、第14天、第21天、第28天的生活质量情况,并分析患者手术时间、术中出血量、肌瘤数量、最大肌瘤直径及主诉症状与生活质量的相关性。结果:112例患者术后第3天、第7天、第14天、第21天、第28天生活质量评分分别为0.58±0.16、0.73±0.60、0.87±0.31、0.94±0.28、0.97±0.19。术后第3天、第7天、第14天,不同主诉症状患者的生活质量均逐渐提高(P<0.05)。112例患者术后第3天、第7天生活质量与手术时间、术中出血量、肌瘤数量、最大肌瘤直径差异均无统计学意义(均P>0.05);术后第14天生活质量与肌瘤数量及体积呈显著负相关(P<0.05);112例患者术后第3天、第7天、第14天生活质量与经量增多、经期延长、疼痛、不孕及腹部手术史差异均无统计学意义(均P>0.05)。结论:腹腔镜子宫肌瘤剔除术患者术后2周生活质量基本恢复,与肌瘤数量和体积呈负相关,与主诉症状无明显相关性。
关键词: 腹腔镜子宫肌瘤剔除术;生活质量;手术情况;主诉症状;相关性

Correlation of quality of life after laparoscopic myomectomy with surgical status and main complaints

Authors: 1HU Fang, 1HUA Da, 1GE Yongqin, 1ZHAO Shasha
1 Department of Obstetrics and Gynecology, Wuxi Maternal and Child Health Care Hospital, Wuxi Jiangsu 214000, China

CorrespondingAuthor: HUA Da Email: 1054722362@qq.com

DOI: 10.3978/j.issn.2095-6959.2021.07.016

Abstract

Objective: To investigate the correlation between the quality of life after laparoscopic myomectomy and the operation status and main complaints. Methods: A total of 112 patients who underwent laparoscopic myomectomy from January 2018 to January 2019 in Wuxi Maternal and Child Health Hospital were selected. The clinical data of all patients were retrospectively analyzed, and the European Five-Dimensional Health Scale (EQ-5D-5L) Evaluate the patient’s quality of life on the 3rd, 7th, 14th, 21th, 28th postoperatively, and analyze the patient’s operation time, intraoperative blood loss, number of fibroids, maximum fibroids diameter, and the correlation between complaints and quality of life. Results: The quality of life scores of 112 patients were 0.58±0.16, 0.73±0.60, 0.87±0.31, 0.94±0.28 and 0.97±0.19. On the 3rd, 7th, and 14th day after operation, the quality of life of patients with different complaints gradually improved (all P<0.05). There was no significant correlation between the quality of life on the 3rd and 7th day of 112 patients after operation, the amount of blood loss, the number of fibroids, or the largest fibroids diameter (all P>0.05); on the 14th day after operation, the quality of life was negatively correlated with the number and volume of myoma (P<0.05); there was no significant correlation between the quality of life of 112 patients on the 3rd, 7th, and 14th days after operation with increased menstrual flow, prolonged menstrual period, pain, infertility, and history of abdominal surgery (P>0.05). Conclusion: The quality of life of patients with laparoscopic myomectomy is basically restored at 2 weeks postoperatively, which is only negatively correlated with the number of fibroids, and has no significant correlation with the main complaint symptoms.
Keywords: laparoscopic myomectomy; quality of life; surgical status; main complaint; correlation

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