CAJ | 학술논문

目的：探讨腹腔镜下子宫动脉阻断后行肌瘤切除治疗子宫肌瘤的临床效果。方法将150例腹腔镜下子宫肌瘤切除患者随机分为研究组(75例)和对照组(75例)，研究组行腹腔镜下子宫动脉阻断术后子宫肌瘤切除术，对照组行腹腔镜下单纯子宫肌瘤切除术。比较两组患者的术中出血量、手术时间并且术后随访观察子宫肌瘤复发情况。结果两组患者手术时间比较差异无统计学意义(P>0.05)，研究组术中出血明显少于对照组(P<0.05)，术后子宫肌瘤复发率比较差异有统计学意义(P<0.05)。结论腹腔镜下子宫动脉阻断后行子宫肌瘤切除术可明显减少术中出血，降低复发率，是一种临床上安全、有效的治疗子宫肌瘤的手术方法。
목적：탐토복강경하자궁동맥조단후행기류절제치료자궁기류적림상효과。방법장150례복강경하자궁기류절제환자수궤분위연구조(75례)화대조조(75례)，연구조행복강경하자궁동맥조단술후자궁기류절제술，대조조행복강경하단순자궁기류절제술。비교량조환자적술중출혈량、수술시간병차술후수방관찰자궁기류복발정황。결과량조환자수술시간비교차이무통계학의의(P>0.05)，연구조술중출혈명현소우대조조(P<0.05)，술후자궁기류복발솔비교차이유통계학의의(P<0.05)。결론복강경하자궁동맥조단후행자궁기류절제술가명현감소술중출혈，강저복발솔，시일충림상상안전、유효적치료자궁기류적수술방법。
Objective To evaluate the clinical effects of laparoscopic hysteromyomectomy after uterine artery blockage. Methods 150 patients treated by laparoscopic hysteromyomectomy were randomly divided into the study group (75 cases) and the control group 75 cases) . Laparoscopic uterine artery blockage was operated before laparoscopic hysteromyomectomy in the study group, while laparo-scopic hysteromyomectomy alone was operated on the control group. Two groups were compared in terms of operation time, periopera-tive bleeding and follow-up of uterine fibroids recurrence. Results The operation time of two groups was not significantly different ( P>0. 05). The perioperative bleeding of study group was significantly less than that of control group (P<0. 05). The recurrence rate of uterine fibroids was significantly different (P<0. 05). Conclusion Laparoscopic uterine artery blockage operated before laparoscopic hysteromyomectomy can significantly reduce the bleeding during operation and the recurrence rate, which is a safe and effective surgical method for the treatment of uterine fibroids.