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| Influences of laparoscopic total hysterectomy of the patients with benign uterine lesions on their perioperative indexes, and their indexes of coagulation function and ovarian reserve |
| Taihe County People's Hospital, Fuyang, Anhui Province, 236600 |
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Abstract To analyze the influences of laparoscopic total hysterectomy of the patients with benign uterine lesions on their perioperative indexes, their serum adiponectin (APN) level, and their recovery after surgery. Methods: A total of 170 patients with benign uterine lesions were selected as the research objects from September 2020 to September 2022. According to the surgical methods, these patients were divided into control group (85 cases) and observation group (85 cases). The patients in the control group had received transabdominal total hysterectomy, and the patients in the observation group had received laparoscopic total hysterectomy. The patients in the two groups were given routine anti-infection treatment after surgery. The perioperative indexes of the patients were compared between the two groups. The indexes of coagulation function and the ovarian reserve function of the patients in the two groups were detected before and after operation. Results: The anal exhaust time (2.05±0.68d), the defecation time (2.64±0.86d), and the hospitalization time (7.56±1.05d) of the patients in the observation group were significantly shorter than those (2.58±0.82d, 3.08±0.93d, and 10.42±3.81d) of the patients in the control group. The intraoperative blood loss (204.41±15.81ml) and the postoperative complications rate (5.9%) of the patients in the observation group were significantly lower than those (248.47±20.25ml and 21.2%) of the patients in the control group (all P<0.05). The prothrombin time, the activated partial thrombin time, and the platelet level of the patients in both groups in 24h after operation had decreased significantly, and which of the patients in the control group were significantly lower than those of the patients in the observation group (P<0.05). The levels of postoperative fibrinogen and D-dimer of the patients in both groups in 24h after operation had increased significantly, and which of the patients in the observation control group were significantly lower than those of the patients in the control group. The levels of serum follicle stimulating hormone, luteinizing hormone, antimuller hormone, and statin B of the patients in both groups in 2 months after operation had decreased significantly, and which of the patients in the observation group were significantly higher than those of the patients in the control group. The level of estradiol of the patients in both groups in 2 months after operation had increased significantly, and which of the patients in the observation group was significantly higher than that of the patients in the control group (all P<0.05). Conclusion: Laparoscopic total hysterectomy can significantly shorten the postoperative recovery time of the patients with benign uterine lesions, which can reduce the intraoperative blood loss, with less adverse influences on the ovarian reserve function of the patients.
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