Clinical effect of transversus abdominis plane block combined with general anesthesia in daytime laparoscopic myomectomy
腹横肌平面阻滞复合全身麻醉在日间腹腔镜子宫肌瘤剔除手术临床效果

摘要

目的 分析超声引导下腹横肌平面（transversus abdominis plane, TAP）阻滞复合全身麻醉对日间腹腔镜子宫肌瘤剔除术患者围术期临床结局的影响。方法 选取我院2023年6月至2025年6月期间行日间腹腔镜子宫肌瘤剔除术的患者共80例，随机分为TAP阻滞复合全身麻醉组（T组）与单纯全身麻醉组（G组）。结果 T组患者在气腹建立及手术探查时的平均动脉压（MAP）和心率（HR）幅度显著低于G组，术后6、12小时的静息及活动时NRS评分更低（P＜0.05）。24小时内舒芬太尼追加总量更低，QoR-40评分更高，T组患者首次下床活动、肛门排气、经口进食及住院时间更短（P<0.05）。结论 在日间腹腔镜子宫肌瘤剔除术中，应用超声引导下TAP阻滞复合全身麻醉，能提升术后早期恢复质量，加速术后康复进程。

Abstract

Objective To analyze the impact of ultrasound-guided transversus abdominis plane (TAP) block combined with general anesthesia on the perioperative clinical outcomes of patients undergoing daytime laparoscopic myomectomy.
Methods A total of 80 patients who underwent daytime laparoscopic myomectomy in our hospital from June 2023 to June 2025 were selected and randomly divided into the TAP block combined with general anesthesia group (T group) and the simple general anesthesia group (G group).
Results The average mean arterial pressure (MAP) and heart rate (HR) amplitudes during pneumoperitoneum establishment and surgical exploration in the T group were significantly lower than those in the G group, and the NRS scores at rest and during activity at 6 and 12 hours after surgery were lower (P < 0.05). The total amount of sufentanil added within 24 hours was lower in the T group, the QoR-40 score was higher, and the time for the first postoperative ambulation, anal exhaust, oral feeding, and hospital stay was shorter in the T group (P < 0.05).
Conclusion   In daytime laparoscopic myomectomy, the application of ultrasound-guided TAP block combined with general anesthesia can improve the quality of early postoperative recovery and accelerate the postoperative rehabilitation process.