实用妇科内分泌电子杂志
實用婦科內分泌電子雜誌
실용부과내분비전자잡지
Journal of Practical Gynecologic Endocrinology
2015年
6期
40-41
,共2页
腹腔镜%GnRHa%子宫肌瘤%疗效
腹腔鏡%GnRHa%子宮肌瘤%療效
복강경%GnRHa%자궁기류%료효
Laparoscopy%GnRHa%Uterine myoma%Clinical efifcacy
目的 观察评价腹腔镜术后辅助GnRHa治疗子宫肌瘤的疗效.方法 选取2010年1月~2014年 6月在我院妇科确诊收治且行腹腔镜切除术的子宫肌瘤患者60例为研究对象.随机分为观察组与对照组,各30例.对照组采用常规腹腔镜治疗;观察组在对照组基础上术后辅助应用GnRHa治疗.结果 两组治疗前子宫体积比较,差异无统计学意义(P>0.05);术后6个月观察组子宫体积小于对照组,差异有统计学意义(P<0.05).治疗前两组血红蛋白平均水平比较,差异无统计学意义(P>0.05);术后6个月观察组水平显著高于对照组,差异有统计学意义(P<0.05).术后随访12个月,观察组术后复发2例,复发率为6.7%,对照组复发10例,复发率为33.3%,差异有统计学意义(P<0.05).结论 在腹腔镜切除子宫肌瘤术后辅助应用GnRHa,可有效缩小子宫体积,降低术后复发率,为术后预防复发开辟了新途径,更为患者选择子宫肌瘤切除术提供了较多保障,在提高患者的生活质量方面具有重要意义.
目的 觀察評價腹腔鏡術後輔助GnRHa治療子宮肌瘤的療效.方法 選取2010年1月~2014年 6月在我院婦科確診收治且行腹腔鏡切除術的子宮肌瘤患者60例為研究對象.隨機分為觀察組與對照組,各30例.對照組採用常規腹腔鏡治療;觀察組在對照組基礎上術後輔助應用GnRHa治療.結果 兩組治療前子宮體積比較,差異無統計學意義(P>0.05);術後6箇月觀察組子宮體積小于對照組,差異有統計學意義(P<0.05).治療前兩組血紅蛋白平均水平比較,差異無統計學意義(P>0.05);術後6箇月觀察組水平顯著高于對照組,差異有統計學意義(P<0.05).術後隨訪12箇月,觀察組術後複髮2例,複髮率為6.7%,對照組複髮10例,複髮率為33.3%,差異有統計學意義(P<0.05).結論 在腹腔鏡切除子宮肌瘤術後輔助應用GnRHa,可有效縮小子宮體積,降低術後複髮率,為術後預防複髮開闢瞭新途徑,更為患者選擇子宮肌瘤切除術提供瞭較多保障,在提高患者的生活質量方麵具有重要意義.
목적 관찰평개복강경술후보조GnRHa치료자궁기류적료효.방법 선취2010년1월~2014년 6월재아원부과학진수치차행복강경절제술적자궁기류환자60례위연구대상.수궤분위관찰조여대조조,각30례.대조조채용상규복강경치료;관찰조재대조조기출상술후보조응용GnRHa치료.결과 량조치료전자궁체적비교,차이무통계학의의(P>0.05);술후6개월관찰조자궁체적소우대조조,차이유통계학의의(P<0.05).치료전량조혈홍단백평균수평비교,차이무통계학의의(P>0.05);술후6개월관찰조수평현저고우대조조,차이유통계학의의(P<0.05).술후수방12개월,관찰조술후복발2례,복발솔위6.7%,대조조복발10례,복발솔위33.3%,차이유통계학의의(P<0.05).결론 재복강경절제자궁기류술후보조응용GnRHa,가유효축소자궁체적,강저술후복발솔,위술후예방복발개벽료신도경,경위환자선택자궁기류절제술제공료교다보장,재제고환자적생활질량방면구유중요의의.
ObjectiveTo observe and evaluate the clinical effect of GnRHa in the treatment of uterine myoma after laparoscopic operation.MethodsFrom January 2014 to June 2010 in our hospital, 60 cases of uterine ifbroids were treated with laparoscopic resection of uterine ifbroids. 60 cases were randomly divided into observation group and control group, 30 cases in each group, the observation group was treated with GnRHa therapy.ResultsThere was no significant difference between the two groups before treatment (P>0.05); 6 months after operation, the uterine volume was less than the control group, the difference was statistically signiifcant (P<0.05). The average level of hemoglobin in the ifrst two groups was similar (P>0.05); the level of the observation group was signiifcantly higher than that in the control group at 6 months after operation, and the difference was statistically significant (P<0.05). The two groups of patients were followed up for 12 months was observed in groups of postoperative recurrence in 2 cases, the recurrence rate was 6.7%, 10 cases of control group, the recurrence, the recurrence rate was 33.3%, group compared with the control group were higher than those in the observation group, and the difference is signiifcant (P<0.05).ConclusionLaparoscopic resection of uterine leiomyoma surgery adjuvant application of GnRHa, can effectively reduce the volume of the uterus, reduce postoperative recurrence rate, postoperative relapse prevention opens up a new way, patients choose uterine ifbroids resection provides more security in it is important to improve the patients quality of life mask.
