[1]姚文超,彭继红.腹腔镜下电凝阻断子宫动脉在无生育要求患者子宫肌瘤剔除术中的应用及预后[J].医学信息,2018,31(21):103-105.[doi:10.3969/j.issn.1006-1959.2018.21.028]
　YAO Wen-chao,PENG Ji-hong.Application and Prognosis of Laparoscopic Electrocoagulation for Uterine Artery Removal in Patients with Uterine Fibroids without Fertility Requirements[J].Journal of Medical Information,2018,31(21):103-105.[doi:10.3969/j.issn.1006-1959.2018.21.028]
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腹腔镜下电凝阻断子宫动脉在无生育要求患者子宫肌瘤剔除术中的应用及预后()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
31卷
期数:
2018年21期
页码:
103-105
栏目:
临床研究
出版日期:
2018-11-01

文章信息/Info

Title:
Application and Prognosis of Laparoscopic Electrocoagulation for Uterine Artery Removal in Patients with Uterine Fibroids without Fertility Requirements
文章编号:
1006-1959（2018）21-0103-03
作者:
姚文超; 彭继红
江苏省中医院溧阳分院妇产科，江苏 溧阳 213300
Author(s):
YAO Wen-chao; PENG Ji-hong
Department of Obstetrics and Gynecology,Liyang Branch,Jiangsu Hospital of Traditional Chinese Medicine,Liyang 213300,Jiangsu,China
关键词:
腹腔镜; 子宫肌瘤; 子宫动脉阻断
Keywords:
Laparoscopy; Uterine fibroids; Uterine artery occlusion
分类号:
R737.33
DOI:
10.3969/j.issn.1006-1959.2018.21.028
文献标志码:
A
摘要:
目的 探讨腹腔镜下电凝阻断子宫动脉在子宫肌瘤剔除术中的应用及预后。方法 对2009年2月~2011年2月来我院因子宫肌瘤行肌瘤剥除手术治疗的住院患者共83例，按照随机数字表法将患者分为实验组和对照组，实验组41例先行腹腔镜下子宫动脉电凝阻断再行肌瘤剥除术，对照组42例直接行腹腔镜下子宫肌瘤剥除术，比较两组的手术时间、术中出血量、肛门排气时间、住院时间、并发症发生率。2年内对所有患者定期随访，观察月经量，B超复查监测肌瘤复发情况。结果 与对照组比较，实验组手术时间缩短（109.92±17.52）min vs（84.83±8.63）min，术中出血量减少（163.13±36.42）ml vs（94.42±13.73）ml，差异有统计学意义（P＜0.05）；两组患者的肛门排气时间（29.64±2.44）h vs（28.84±2.94）h、住院时间（6.53±0.63）d vs（6.23±0.92）d、并发症发生率7.10% vs 7.30%比较，差异无统计学意义（P＞0.05）。随访2年，实验组月经量少于对照组（60.53±17.62）ml vs（133.82±32.53）ml，差异有统计学意义（P＜0.05）。实验组肌瘤无1例复发，对照组子宫肌瘤有6例复发，实验组复发率（0%）优于对照组（14.30%），差异有统计学意义（P＜0.05）。结论 腹腔镜下电凝阻断子宫动脉后再行肌瘤剥除术可有效的减少术中出血量，缩短手术时间，减少术后月经量，降低肌瘤复发率。
Abstract:
Objective To investigate the application and prognosis of laparoscopic electrocoagulation for uterine artery removal in uterine fibroids. Methods A total of 83 inpatients who underwent fibroidectomy in our hospital from February 2009 to February 2011 were enrolled. The patients were divided into experimental group and control group according to the random number table method.In the experimental group, 41 cases underwent laparoscopic uterine artery electrocoagulation to block the myomectomy, and 42 patients in the control group underwent laparoscopic uterine fibroids removal. The operation time and intraoperative blood loss were compared between the two groups. Anal exhaust time, hospital stay, and complication rate. All patients were followed up regularly within 2 years to observe the menstrual volume, and B-ultrasound was used to monitor the recurrence of fibroids. Results Compared with the control group, the operation time of the experimental group was shortened (109.92±17.52) min vs (84.83±8.63) min, and the intraoperative blood loss was reduced (163.13±36.42) ml vs (94.42±13.73) ml,the difference was statistically significant (P<0.05);The anus exhaust time (29.64±2.44) h vs (28.84±2.94) h, hospitalization time (6.53±0.63) d vs (6.23±0.92) d, and the complication rate of 7.10% vs 7.30% in the two groups were compared,the difference was not statistically significant (P>0.05). After two years of regular follow-up, the menstrual volume of the experimental group was less than that of the control group (60.53±17.62) ml vs (133.82±32.53) ml,the difference was statistically significant (P<0.05). There was no recurrence of fibroids in the experimental group, and 6 cases of uterine fibroids in the control group recurred. The recurrence rate of the experimental group (0%) was better than that of the control group (14.30%),the difference was statistically significant (P<0.05). Conclusion Laparoscopic electrocoagulation to block the uterine artery and then undergoing myomectomy can effectively reduce the intraoperative blood loss, shorten the operation time, reduce the postoperative menstrual flow and reduce the recurrence rate of fibroids.

参考文献/References:

[1]唐靖,蒋蕾.腹腔镜与开腹手术治疗子宫肌瘤的临床疗效比较[J].实用临床医药杂志,2013,17(19):82-83. [2]张晖,吴云燕.腹腔镜与开腹子宫肌瘤剔除术的比较[J].中国微创外科杂志,2013,13(4):333-335. [3]周白,赵霞,曹云莉,等.腹腔镜下子宫动脉阻断子宫肌瘤切除术51例分析[J].江苏医药,2013,39(22): 2743-2744． [4]孙军花,葛晓英.子宫肌瘤切除术后复发危险因素相关性分析[J].中国妇幼保健,2013,28(4):613-614. [5]刘润萍,董俊英,李彩萍.腹腔镜下阻断子宫动脉后子宫肌瘤切除术126例临床分析[J].吉林医学,2010，31(13):1759-1760． [6]王晓娟,王晓平,邵雷.子宫动脉上行支结扎用于腹腔镜子宫肌瘤切除术的临床研究[J].腹腔镜外科杂志,2010,15(3):189-190． [7]刘岑.腹腔镜下子宫肌瘤剥除术中子宫动脉阻断对术后肌瘤复发及生育功能的影响[J].实用临床医药杂志,2014,18(9):114-115． [8]杨伟红,程忠平.腹腔镜下子宫动脉阻断术治疗子宫肌瘤的研究进展[J].国际妇产科学杂志,2013,40 (3):266-270． [9]刘禄斌,张光金,徐惠成,等.腹腔镜下子宫动脉阻断术辅助子宫肌瘤挖除术对患者生育功能及肌瘤复发率的影响[J].重庆医学,2012,41(15):1517-1519． [10]宋建梅.腹腔镜下子宫动脉阻断后行子宫肌瘤切除术25例效果观察[J].齐鲁护理杂志,2010,16 (18):41-42． [11]杨瑞英,王安杰,侯懿,等.改良腹腔镜下大子宫肌瘤剔除术的临床研究[J].中国妇幼保健,2015,30 (30):5288-5290． [12]Liu WM,Tzeng CR,YJ C,et a1.Combing the utrine depletion procedure and myomectomy may be useful for treating symptomatic fibroids[J].Fertil Steril,2004,82(1):205-210. [13]程忠平,杨伟红,戴虹,等.腹腔镜下子宫动脉阻断术联合肌瘤切除术治疗子宫肌瘤的临床研究[J].中国妇产科临床杂志,2009,10(3):182-185.

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更新日期/Last Update: 2018-11-20