中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
16期
62-63
,共2页
腹腔镜%子宫动脉阻断%子宫肌瘤%子宫肌瘤剔除
腹腔鏡%子宮動脈阻斷%子宮肌瘤%子宮肌瘤剔除
복강경%자궁동맥조단%자궁기류%자궁기류척제
Laparoscope%Uterine artery occlusion%Myoma of uterus%Myomectomy
目的：探讨子宫动脉阻断在腹腔镜子宫肌瘤剔除术中的有效性和安全性。方法：2010年2月-2012年3月收治多发子宫肌瘤患者78例，随机分为观察组和对照组，观察组在剔除子宫肌瘤前先行子宫动脉阻断，对照组子宫肌层注射垂体后叶素6U 后行子宫肌瘤剔除。比较两组的手术时间、术中出血量、术后排气时间、住院时间、术后病率、子宫肌瘤复发和月经改善情况。结果：两组患者手术均获成功，观察组手术时间(65.30±18.05)分钟，显著少于对照组(78.56±20.47)分钟；观察组术中出血量(73.26±21.70)ml，显著少于对照组(96.25±26.31)ml。观察组术后肌瘤复发率(2.5%)低于对照组(28.9%)，观察组月经改善率(95.6%)高于对照组(84.3%)。结论：对于腹腔镜下多发性子宫肌瘤剔除术，子宫动脉阻断联合子宫肌瘤剔除术明显减少了术中出血量，降低术后肌瘤复发率。
目的：探討子宮動脈阻斷在腹腔鏡子宮肌瘤剔除術中的有效性和安全性。方法：2010年2月-2012年3月收治多髮子宮肌瘤患者78例，隨機分為觀察組和對照組，觀察組在剔除子宮肌瘤前先行子宮動脈阻斷，對照組子宮肌層註射垂體後葉素6U 後行子宮肌瘤剔除。比較兩組的手術時間、術中齣血量、術後排氣時間、住院時間、術後病率、子宮肌瘤複髮和月經改善情況。結果：兩組患者手術均穫成功，觀察組手術時間(65.30±18.05)分鐘，顯著少于對照組(78.56±20.47)分鐘；觀察組術中齣血量(73.26±21.70)ml，顯著少于對照組(96.25±26.31)ml。觀察組術後肌瘤複髮率(2.5%)低于對照組(28.9%)，觀察組月經改善率(95.6%)高于對照組(84.3%)。結論：對于腹腔鏡下多髮性子宮肌瘤剔除術，子宮動脈阻斷聯閤子宮肌瘤剔除術明顯減少瞭術中齣血量，降低術後肌瘤複髮率。
목적：탐토자궁동맥조단재복강경자궁기류척제술중적유효성화안전성。방법：2010년2월-2012년3월수치다발자궁기류환자78례，수궤분위관찰조화대조조，관찰조재척제자궁기류전선행자궁동맥조단，대조조자궁기층주사수체후협소6U 후행자궁기류척제。비교량조적수술시간、술중출혈량、술후배기시간、주원시간、술후병솔、자궁기류복발화월경개선정황。결과：량조환자수술균획성공，관찰조수술시간(65.30±18.05)분종，현저소우대조조(78.56±20.47)분종；관찰조술중출혈량(73.26±21.70)ml，현저소우대조조(96.25±26.31)ml。관찰조술후기류복발솔(2.5%)저우대조조(28.9%)，관찰조월경개선솔(95.6%)고우대조조(84.3%)。결론：대우복강경하다발성자궁기류척제술，자궁동맥조단연합자궁기류척제술명현감소료술중출혈량，강저술후기류복발솔。
Objective:To explore the efficacy and safety of laparoscopic uterine artery blockage combined with myomectomy in the treatment of multiple uterine fibroids.Methods:78 cases with multiple uterine myoma were selected from February 2010 to March 2012.They were randomly divided into the observation group and the control group.The observation group were treated with uterine artery occlusion before uterine fibroids removed,while the control group were treated with uterine myomectomy after the muscular layer of uterine injection of pituitrin 6U.We compared the operation time,bleeding volume,postoperative exhaust time,hospitalization time,postoperative morbidity,hysteromyoma recurrence and the improvement of situation of menstruation of the two groups.Results:Two groups were all successful.In the observation group,operation time was 65.30±18.05 minutes.In the control group,operation time was 78.56±20.47 minutes.The observation group was significantly less than that of the control group. In the observation group,the amount of bleeding was 73.26±21.70ml.In the control group,the amount of bleeding was 96.25± 26.31ml.The observation group was significantly less than that of the control group.The patients hysteromyoma recurrence rate of the observation group was 2.5% ,lower than that of the control group of 28.9% .Menstrual improvement rate of 95.6% of the observation group was higher than that of the control group of 84.3%.Conclusion:For the operation of multiple uterine myomas with laparoscope,uterine artery occlusion combined with uterine myoma can significantly reduce the amount of bleeding and reduce myoma postoperative recurrence rate.
