摘要
目的探讨经阴道超声引导腹腔镜治疗多发性子宫肌瘤的临床价值。方法选取多发性子宫肌瘤患者82例,随机分为观察组和对照组各41例。对照组行腹腔镜子宫肌瘤剔除术,观察组应用经阴道超声引导腹腔镜行子宫剔除术,观察并比较两组患者的临床疗效和预后。结果两组患者手术时间、术中出血量、肠胃功能恢复时间、住院时间及术后并发症发生率比较,差异均无统计学意义;观察组患者的术后肌瘤残留率和术后1年复发率均显著低于对照组,肌瘤直径显著小于对照组,差异均有统计学意义(均P<0.05)。结论应用经阴道超声引导腹腔镜治疗多发性子宫肌瘤能有效降低子宫肌瘤残留率和术后1年复发率,预后较好,具有较高的临床应用价值,值得推广。
Objective To investigate the clinical value of transvaginal ultrasound guided laparoscopy in the treatment of multiple uterine fibroids.Methods Eighty-two patients with multiple uterine fibroids were randomly divided into observation group（n =41） and control group（n =41）.The control group received laparoscopic myomectomy and observation group received transvaginal ultrasound combined with laparoscopic myomectomy.The clinical efficacy and prognosis of the two groups were observed and compared.Results The operation time,intraoperative blood loss,gastrointestinal function recovery time,hospitalization time and the incidence of postoperative complications were not significantly different between two groups.The postoperative residual fibrosis rate and postoperative 1 year recurrence rate in observation group were significantly lower than those in control group,fibroids diameter was significantly smaller than that in control group,the difference were statistically significant（all P 0.05）.Conclusion Transvaginal ultrasound guided laparoscopy in the treatment of multiple uterine fibroids could effectively reduce the residual rate of uterine fibroids,and significantly reduce the recurrence rate after 1 year,with good prognosis and high clinical value.It is worthy promoting in future diagnosis.
出处
《临床超声医学杂志》
2018年第2期134-136,共3页
Journal of Clinical Ultrasound in Medicine
基金
河北省沧州市科技局课题(151302056)
关键词
超声检查
经阴道
腹腔镜
子宫肌瘤
多发性
Ultrasonography, transvaginal
Laparoscopy
Uterine fibroids, multiple
