CAJ | 학술논문

目的：探讨腹腔镜下子宫动脉阻断术联合子宫肌瘤切除术治疗子宫肌瘤患者的临床效果。方法112例子宫肌瘤患者随机分为观察组（n＝56）与对照组（n＝56），观察组给予腹腔镜下子宫动脉阻断术＋子宫肌瘤切除术治疗，对照组仅给予腹腔镜下子宫肌瘤切除术治疗，对比2组患者治疗效果。结果观察组手术时间、住院时间均显著短于对照组（P ＜0．01），术中出血量显著低于对照组（P ＜0．01），术后肛门排气时间显著早于对照组（P ＜0．05）；观察组月经过多缓解率为96．4％，显著高于对照组的80．4％（P ＜0．01）；子宫肌瘤复发率为1．8％，显著低于对照组的16．1％（P ＜0．01）；子宫体积缩小程度显著高于对照组（P ＜0．01）；2组患者术后并发症发生率比较无显著差异（P ＞0．05）。结论腹腔镜下子宫肌瘤切除术之前先给予子宫动脉阻断术能够有效减少术中出血量，对于改善手术效果、降低复发率及并发症发生率、加快术后恢复等均具有重要意义。
목적：탐토복강경하자궁동맥조단술연합자궁기류절제술치료자궁기류환자적림상효과。방법112례자궁기류환자수궤분위관찰조（n＝56）여대조조（n＝56），관찰조급여복강경하자궁동맥조단술＋자궁기류절제술치료，대조조부급여복강경하자궁기류절제술치료，대비2조환자치료효과。결과관찰조수술시간、주원시간균현저단우대조조（P ＜0．01），술중출혈량현저저우대조조（P ＜0．01），술후항문배기시간현저조우대조조（P ＜0．05）；관찰조월경과다완해솔위96．4％，현저고우대조조적80．4％（P ＜0．01）；자궁기류복발솔위1．8％，현저저우대조조적16．1％（P ＜0．01）；자궁체적축소정도현저고우대조조（P ＜0．01）；2조환자술후병발증발생솔비교무현저차이（P ＞0．05）。결론복강경하자궁기류절제술지전선급여자궁동맥조단술능구유효감소술중출혈량，대우개선수술효과、강저복발솔급병발증발생솔、가쾌술후회복등균구유중요의의。
Objective To explore the clinical effect of laparoscopic uterine artery occlusion combined with myomectomy on treatment of patients with uterine fibroids.Methods 112 patients with uterine fibroids were randomly divided into the observation group (n=56)and the control group (n=56),the observation group was treated with laparoscopic uterine artery occlusion com-bined with myomectomy,while the control group was treated with laparoscopic myomectomy only. Clinical effect was contrasted between the two groups.Results In the observation group,operative time and hospital stay were significantly shorter than the control group(P <0.01),blood loss was less than the control group(P <0.01),and the exhaust time was significantly earlier than the con-trol group(P <0.05).In the observation group,remission rate of menorrhagia was 96.4%,which was significantly higher than 80.4% in the control group(P <0.01).Uterine fibroid recurrence rate was 1.8%,which was significantly lower than 16.1% in the control group(P <0.01),but degree of uterine volume reduction was significantly higher than the control group(P <0.01). There was no significant difference of incidence of postoperative complications between the two groups.Conclusion Laparoscopic uterine artery occlusion combined with myomectomy can effec-tively reduce intraoperative loss of blood,improve therapeutic efficacy and reduce incidence rate of complications and recurrence rate.