摘要
目的 探讨垂体后叶素联合缩宫素在腹腔镜下预处理大子宫肌瘤剔除术中的临床应用价值。方法 选取2014年1月~2015年1月邢台市人民医院240例腹腔镜下大子宫肌瘤（直径〉6 cm）切除术患者并随机分为改良组和对照组进行对比,每组120例,改良组给予垂体后叶素联合缩宫素止血,对照组给予子宫动脉阻断术止血。比较分析两种方法的优缺点。结果改良组平均手术时间为（84.50±30.50）min,术中出血量平均为60.50 ml;对照组平均手术时间为（115.30±62.50）min,术中出血量平均为90.20 ml。两组均有1例血肿形成,对照组1例因术中出血量多而中转开腹。结论 腹腔镜下子宫肌瘤剔除术中使用垂体后叶素联合缩宫素止血效果优于子宫动脉阻断术,是有效的止血方法。垂体后叶素联合缩宫素止血操作易于掌握,而子宫动脉阻断术则相对复杂,要求术者必须具备熟练的腹腔镜操作技术。
Objective To explore the clinical application value of hypophysin combined with oxytocin in pretreatment of laparoscopic myomectomy for large myomas. Methods A total of 240 patients undergoing laparoscopic myomectomy for large myomas in the hospi- tal from January 2014 to January 2015 were selected and randomly divided into modified group and control group, 120 patients in each group; the patients in modified group were treated by hypophysin combined with oxytocin for hemostasis, while the patients in control group were treated by uterine artery block for hemostasis. The advantages and disadvantages of the two methods were compared and analyzed. Results The mean operation time and the amount of blood loss during operation in modified group were （84. 50±30. 50） minutes and 60. 50 ml, respectively; the mean operation time and the amount of blood loss during operation in control group were （ 115.30±62. 50） minutes and 90. 20 ml, respectively. One patient with hematoma formation in modified group and one patient with hematoma formation in control group were found. In control group, one patient converted to laparotomy because of excessive blood loss during operation. Conclusion The effect of hy- pophysin combined with oxytocin on hemostasis during laparoscopic myomectomy for large myomas is better than that of uterine artery block, which is an effective method for stopping bleeding. Hypophysin combined with oxytocin for hemostasis is easy to grasp, while uterine artery block is relatively complex, the latter demands skilled laparoscopic technique of operators.
出处
《中国妇幼保健》
CAS
2015年第30期5288-5290,共3页
Maternal and Child Health Care of China
