中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2014年
26期
1-2,3
,共3页
子宫动脉阻断术%子宫肌瘤%子宫肌瘤剥除术
子宮動脈阻斷術%子宮肌瘤%子宮肌瘤剝除術
자궁동맥조단술%자궁기류%자궁기류박제술
Uterine artery block operation%Uterine fibroids%Hysteromyoma
目的：探讨腹腔镜下子宫动脉阻断术并子宫肌瘤剥除术治疗子宫肌瘤的效果。方法：收集笔者所在医院2010年3月-2011年3月行腹腔镜下子宫肌瘤剥除术患者76例，其中56例单纯行子宫肌瘤剥除术，20例配合行子宫动脉阻断术后再行子宫肌瘤剥除术，前者作为对照组，后者作为研究组，比较两组疗效及并发症发生情况。结果：所有病例腹腔镜手术均成功，无手术并发症及术后并发症。研究组术中出血量、术后病率均显著少于对照组，两组比较差异均有统计学意义(P<0.05)。两组手术时间、住院时间比较差异均无统计学意义(P>0.05)。结论：腹腔镜子宫肌瘤剥除术治疗子宫肌瘤可取得满意的临床效果，腹腔镜下子宫肌瘤剥除术配合子宫动脉阻断术可减少术中出血量，缩短手术时间，降低术后复发率、手术野清晰、创面电凝少，减少组织坏死，减少术后并发症。
目的：探討腹腔鏡下子宮動脈阻斷術併子宮肌瘤剝除術治療子宮肌瘤的效果。方法：收集筆者所在醫院2010年3月-2011年3月行腹腔鏡下子宮肌瘤剝除術患者76例，其中56例單純行子宮肌瘤剝除術，20例配閤行子宮動脈阻斷術後再行子宮肌瘤剝除術，前者作為對照組，後者作為研究組，比較兩組療效及併髮癥髮生情況。結果：所有病例腹腔鏡手術均成功，無手術併髮癥及術後併髮癥。研究組術中齣血量、術後病率均顯著少于對照組，兩組比較差異均有統計學意義(P<0.05)。兩組手術時間、住院時間比較差異均無統計學意義(P>0.05)。結論：腹腔鏡子宮肌瘤剝除術治療子宮肌瘤可取得滿意的臨床效果，腹腔鏡下子宮肌瘤剝除術配閤子宮動脈阻斷術可減少術中齣血量，縮短手術時間，降低術後複髮率、手術野清晰、創麵電凝少，減少組織壞死，減少術後併髮癥。
목적：탐토복강경하자궁동맥조단술병자궁기류박제술치료자궁기류적효과。방법：수집필자소재의원2010년3월-2011년3월행복강경하자궁기류박제술환자76례，기중56례단순행자궁기류박제술，20례배합행자궁동맥조단술후재행자궁기류박제술，전자작위대조조，후자작위연구조，비교량조료효급병발증발생정황。결과：소유병례복강경수술균성공，무수술병발증급술후병발증。연구조술중출혈량、술후병솔균현저소우대조조，량조비교차이균유통계학의의(P<0.05)。량조수술시간、주원시간비교차이균무통계학의의(P>0.05)。결론：복강경자궁기류박제술치료자궁기류가취득만의적림상효과，복강경하자궁기류박제술배합자궁동맥조단술가감소술중출혈량，축단수술시간，강저술후복발솔、수술야청석、창면전응소，감소조직배사，감소술후병발증。
Objective:To evaluate the therapeutic results of laparoscopic uterine artery occlusion combined with myomectomy for uterine fibroids. Method:Seventy-six uterine fibroid patients were treated in department of obstetrics and gynecology,affiliated changshu hospital of suzhou university from March 2010 to March 2011.Twenty patients were performed by laparoscopic uterine artery occlusion combined with myomectomy,while 56 patients by laparoscopic myomectomy only.The indicators between the two groups were compared after treatment,such as the effective rate,complications,and so on.Result:All cases of the laparoscopic surgery were successful.All the patients got well with no surgical complications and postoperative complications.The intraoperative blood loss, postoperative disease rate for clinical treatment of the treatment group were significantly shorter than the control group(P<0.05).The differences of two groups of operation time,length of hospital stay had no statistical significance(P>0.05).Conclusion:Laparoscopic myomectomy has been used to treat uterine fibroids and achieved satisfied clinical therapeutic effects.Laparoscopic uterine artery occlusion combined with myomectomy for uterine fibroids has the characteristic of less blood loss,shorter operative time,lower recurrence of myoma and clear operative field.It can decrease the incidence of postoperative complications with less injured by electrocoagulation and less tissue necrosis.
