中国妇幼健康研究
中國婦幼健康研究
중국부유건강연구
CHINESE JOURNAL OF MATERNAL AND CHILD HEALTH RESEARCH
2014年
2期
299-300,316
,共3页
子宫动脉阻断术%子宫肌瘤剥除术%腹腔镜%临床疗效
子宮動脈阻斷術%子宮肌瘤剝除術%腹腔鏡%臨床療效
자궁동맥조단술%자궁기류박제술%복강경%림상료효
uterine artery occlusion%myomectomy%peritoneoscope%clinical curative effect
目的：探讨腹腔镜下子宫动脉阻断后行肌瘤剥除治疗子宫肌瘤的临床效果并进行可行性分析。方法将84例子宫肌瘤患者随机分为实验组和对照组，每组各42例。实验组采用腹腔镜下子宫动脉阻断后行子宫肌瘤剥除治疗的方法，对照组采用经典的腹腔镜下子宫肌瘤切除术，比较两组的手术时间、术中出血量、并发症以及对卵巢功能的影响。两年内对所有患者定期随访，观察患者的恢复情况和复发状况。结果与对照组比较，实验组手术时间明显缩短，术中出血量显著减少，差异均有统计学意义（t值分别为8．5958、14．7726，均P＜0．05）；实验组术后对卵巢功能无影响，甚至可以起到恢复的作用；两组患者的并发症发生率无明显区别（P＞0．05）。通过两年的定期随访，两组患者月经恢复正常，复发率差异无统计学意义（χ2＝0．6741，P＞0．05）。结论腹腔镜下子宫动脉阻断后行肌瘤剥除术在治疗子宫肌瘤方面优势明显，可使广大患者受益，值得推荐和应用。
目的：探討腹腔鏡下子宮動脈阻斷後行肌瘤剝除治療子宮肌瘤的臨床效果併進行可行性分析。方法將84例子宮肌瘤患者隨機分為實驗組和對照組，每組各42例。實驗組採用腹腔鏡下子宮動脈阻斷後行子宮肌瘤剝除治療的方法，對照組採用經典的腹腔鏡下子宮肌瘤切除術，比較兩組的手術時間、術中齣血量、併髮癥以及對卵巢功能的影響。兩年內對所有患者定期隨訪，觀察患者的恢複情況和複髮狀況。結果與對照組比較，實驗組手術時間明顯縮短，術中齣血量顯著減少，差異均有統計學意義（t值分彆為8．5958、14．7726，均P＜0．05）；實驗組術後對卵巢功能無影響，甚至可以起到恢複的作用；兩組患者的併髮癥髮生率無明顯區彆（P＞0．05）。通過兩年的定期隨訪，兩組患者月經恢複正常，複髮率差異無統計學意義（χ2＝0．6741，P＞0．05）。結論腹腔鏡下子宮動脈阻斷後行肌瘤剝除術在治療子宮肌瘤方麵優勢明顯，可使廣大患者受益，值得推薦和應用。
목적：탐토복강경하자궁동맥조단후행기류박제치료자궁기류적림상효과병진행가행성분석。방법장84례자궁기류환자수궤분위실험조화대조조，매조각42례。실험조채용복강경하자궁동맥조단후행자궁기류박제치료적방법，대조조채용경전적복강경하자궁기류절제술，비교량조적수술시간、술중출혈량、병발증이급대란소공능적영향。량년내대소유환자정기수방，관찰환자적회복정황화복발상황。결과여대조조비교，실험조수술시간명현축단，술중출혈량현저감소，차이균유통계학의의（t치분별위8．5958、14．7726，균P＜0．05）；실험조술후대란소공능무영향，심지가이기도회복적작용；량조환자적병발증발생솔무명현구별（P＞0．05）。통과량년적정기수방，량조환자월경회복정상，복발솔차이무통계학의의（χ2＝0．6741，P＞0．05）。결론복강경하자궁동맥조단후행기류박제술재치료자궁기류방면우세명현，가사엄대환자수익，치득추천화응용。
Objective To discuss and analyze the clinical effect and feasibility of uterine artery occlusion under peritoneoscope in myomectomy .Methods Totally 84 cases with uterus myoma were divided into experimental group and control group randomly , and each group had 42 cases.In the experimental group myomectomy was performed under uterine artery occlusion , while the control group underwent myomectomy with conventional peritoneoscopy .Surgery time, intraoperative blood loss , complications and the influence on ovarian function were compared between two groups .Regular follow-up visit was conducted to all of these patients within two years , and their recovery and recurrence conditions were observed .Results Compared with the control group , the surgery time shortened obviously and intraoperative blood loss reduced evidently in the experimental group (t value was 8.5958 and 14.7726, respectively, both P<0.05). The ovarian function recovered favorably in the experimental group .There was no significant difference in incidence rate of complications between two groups (P>0.05).Two-year follow-up visit showed that menstruation of these patients recovered , and their recurrence rate had no obvious difference (χ2 =0.6741, P>0.05).Conclusion Myomectomy under peritoneoscope after uterine artery occlusion has great advantages on treatment of uterus myoma , and it is beneficial to patients .Therefore , it is worth of recommendation and application .
