Xie Chenghong, Cao Huarong
Department of Gynaecology and Obstetrics, The First College of Clinical Medical Science, China Three Gorges University / Yichang Central People's Hospital, Yichang, Hubei 443000, China.
Afr J Reprod Health. 2025 Jun 26;29(6):49-57. doi: 10.29063/ajrh2025/v29i6.5.
This study aimed to evaluate the effect of vaginal natural orifice transluminal endoscopic surgery in hysterectomy. A retrospective analysis of 80 patients who underwent hysterectomy at the Maternity & Child Care Center in Qinhuangdao, China from October 2022 to October 2024 was conducted. The patients were randomly divided into a transumbilical laparoendoscopic single-site surgery group and a vaginal natural orifice transluminal endoscopic surgery group. The surgical time of 40 cases of the vaginal natural orifice transluminal endoscopic surgery group tended to stabilize, and learning curve showed no marked fluctuations. The anal exhaust time, indwelling catheter time, hospital stay, and degree of pain in vaginal natural orifice transluminal endoscopic surgery group were less than the transumbilical laparoendoscopic single-site surgery group. On the first day after surgery, compared to the transumbilical laparoendoscopic single-site surgery group, the vaginal natural orifice transluminal endoscopic surgery group had higher superoxide dismutase and glutathione peroxidase levels and lower malondialdehyde and advanced oxidation protein products levels. We conclude that vaginal natural orifice transluminal endoscopic surgery has less postoperative pain than transumbilical laparoendoscopic single-site surgery, which reduces patients' postoperative stress responses and facilitates postoperative recovery.
本研究旨在评估经阴道自然腔道内镜手术在子宫切除术中的效果。对2022年10月至2024年10月在中国秦皇岛妇幼保健中心接受子宫切除术的80例患者进行回顾性分析。将患者随机分为经脐单孔腹腔镜手术组和经阴道自然腔道内镜手术组。经阴道自然腔道内镜手术组40例患者的手术时间趋于稳定，学习曲线无明显波动。经阴道自然腔道内镜手术组的肛门排气时间、留置导尿管时间、住院时间和疼痛程度均少于经脐单孔腹腔镜手术组。术后第1天，与经脐单孔腹腔镜手术组相比，经阴道自然腔道内镜手术组超氧化物歧化酶和谷胱甘肽过氧化物酶水平较高，丙二醛和晚期氧化蛋白产物水平较低。我们得出结论，经阴道自然腔道内镜手术比经脐单孔腹腔镜手术术后疼痛更少，可减轻患者术后应激反应，促进术后恢复。
