CAJ | 학술논문

目的：探讨腹腔镜子宫肌瘤剔除术采用子宫动脉暂时阻断的临床效果及对卵巢功能的影响。方法：选取符合标准的患者80例随机分为观察组和对照组各40例，均采用腹腔镜子宫肌瘤剔除术，观察组应用子宫动脉暂时阻断，对照组采用垂体后叶素，比较二者效果。结果：观察组患者术中出血量明显低于对照组，差异有统计学意义（ P＜0．05）；二者手术时间、术后排气时间、术后住院时间及术后病率相似，差异无统计学意义（ P＞0．05）。两组患者术后月经改善和肌瘤复发情况比较，差异无统计学意义（ P＞0．05）。卵巢功能各项指标（ FSH、E2及LH）组间及组内比较，差异无统计学意义（ P＞0．05）。结论：腹腔镜子宫肌瘤剔除术采用子宫动脉暂时阻断可有效减少术中出血量，显著改善患者临床症状，对卵巢功能无明显影响，安全性高，操作方便，值得临床推广应用。
목적：탐토복강경자궁기류척제술채용자궁동맥잠시조단적림상효과급대란소공능적영향。방법：선취부합표준적환자80례수궤분위관찰조화대조조각40례，균채용복강경자궁기류척제술，관찰조응용자궁동맥잠시조단，대조조채용수체후협소，비교이자효과。결과：관찰조환자술중출혈량명현저우대조조，차이유통계학의의（ P＜0．05）；이자수술시간、술후배기시간、술후주원시간급술후병솔상사，차이무통계학의의（ P＞0．05）。량조환자술후월경개선화기류복발정황비교，차이무통계학의의（ P＞0．05）。란소공능각항지표（ FSH、E2급LH）조간급조내비교，차이무통계학의의（ P＞0．05）。결론：복강경자궁기류척제술채용자궁동맥잠시조단가유효감소술중출혈량，현저개선환자림상증상，대란소공능무명현영향，안전성고，조작방편，치득림상추엄응용。
Objective:To investigate the clinical effects of temporary blockage of uterine artery on ovary function in laparoscopic myomectomy .Method:80 eligible patients were randomly divided into observation group and control group , 40 patients in each group; all the patients underwent laparoscopic myomectomy , and the observation group used temporary blockage of uterine artery , while the control group used pituitrin , and the effects of the two were compared .Result:The intra-operative blood loss of the patients of the obser-vation group was significantly lower than that of the control group , and the difference was statistically signifi-cant (P<0.05);the operative times, postoperative times of passing flatus , postoperative lengths of stay and postoperative incidences of the patients of the two groups were similar , and the differences were statistically insignificant (P>0.05).The differences in postoperative menstruation , improving condition and myoma re-currence condition between the patients of the two groups were statistically insignificant ( P>0.05) .And the inter-group and intra-group differences in each index of ovary function (FSH, E2 and LH) were statistically insignificant ( P>0.05) .Conclusion:Temporary blockage of uterine artery in laparoscopic myomectomy can effectively decrease intra-operative blood loss and significantly improve the clinical symptoms of the patients , has insignificant effects on ovary function , is highly safe and feasible , and consequently is worthy of clinical application .