摘要
目的探讨腹腔镜子宫肌瘤切除术中应用子宫动脉阻断术临床效果。方法选取腹腔镜子宫肌瘤切除术80例,随机分组,各40例。观察组就腹腔镜子宫肌瘤切除术前先行子宫动脉阻断术,对照组单纯行腹腔镜下子宫肌瘤切除术,对2组效果展开对比。结果 2组手术均成功实施,无中转开腹。观察组手术时间、术中出血量均少于对照组,差异有统计学意义（P〈0.05）。2组住院时间差异无统计学意义。观察组皮下气肿1例,并发症率为2.5%,术后2 d吸收;对照组发热4例,并发症率为10.0%,差异无统计学意义。行3~10个月随访,观察组无复发率发生,对照组复发率为7.5%,2组均无卵巢早衰。结论针对临床收治的子宫肌瘤病例,先行子宫动脉阻断术后,再行腹腔镜切除术,可缩短操作时间,减少术中出血,防范复发,有较高的安全性,对保障预后意义显著。
Objective To investigate the clinical effect of uterine artery occlusion during laparoscopic hysterectomy. Methods 80 cases of laparoscopic resection of uterine fibroids, were randomly assigned to laparoscopic hysterectomy （observation group, n=40） and simple laparoscopic hysterectomy （control group, n=40） effect. Results The two groups were successfully implemented, no conversion to open surgery. The amount of bleeding in the observation group was less than that of the control group, the difference was statistically significant （P〈0.05）. There was no significant difference between the two groups （P〉0.05）. The observation group 1 case of subcutaneous emphysema, the complication rate was 2.5%, postoperative 2 D absorption; control group fever in 4 cases. The complication rate was 10%, the difference was not significant. For 3-10 months of follow-up, the observation group recurrence rate, recurrence rate of control group was 7.5%, two groups of premature ovarian failure. Conclusion In the clinical treatment of uterine fibroids, uterine artery occlusion, and then laparoscopic resection, can shorten the operation time, reduce intraoperative bleeding, prevent recurrence, have a higher security, to protect the prognosis significance.
出处
《当代医学》
2016年第9期64-65,共2页
Contemporary Medicine
