摘要
目的探讨腹腔镜超声在辅助子宫肌瘤剔除术中的应用价值,为临床降低子宫肌瘤术后复发率提供科学依据。方法选取2011年1月-2014年6月在该院住院治疗的子宫肌瘤患者156例,根据数字表法将患者分为对照组和观察组,每组78例,对照组患者给予常规的腹腔镜微创治疗,观察组患者给予腹腔镜超声辅助微创治疗,比较两组患者一般治疗情况、术后残留和12个月复发的情况、不同时间点的肌瘤个数和肌瘤直径,分析子宫肌瘤的数目与残留与复发的关系。结果两组患者手术时间、术中出血量、住院时间以及肛门排气时间的差异均无统计学意义;观察组患者术后残留的比例以及12个月内复发的比例明显低于对照组,且差异具有统计学意义;观察组术后3、6、9和12个月的子宫肌瘤数目低于对照组;两组患者术后3和6个月子宫肌瘤最大直径的差异无统计学意义,观察组患者术后9和12个月的子宫肌瘤的最大直径明显低于对照组,且差异具有统计学意义;随着患者子宫肌瘤数目的增多,术后的残余发生率和复发率明显提升,当子宫肌瘤的数目≥10个,残留率为100.0%,复发率为80.0%。结论腹腔镜超声辅助微创手术应用于子宫肌瘤患者,可以有效降低术后的残余率和复发率,值得临床推广。
Objective To investigate the effect of laparoscopic ultrasonography assistance in minimally invasive surgery for uterine leiomyoma patients and provide scientifc basis for reducing the recurrence rate of uterine leiomyoma. Methods 156 cases of uterine leiomyoma from January 2011 to June 2014 were divided into control group and observation group according to the digital table method, 78 cases in each. The control group were treated with conventional laparoscopic surgery, while the observation group with laparoscopic ultrasonography assistance, then compare the postoperative residue, recurrence in 12 months at different time points and the number of fbroids diameter, analyze the relationship between number of uterine muscle tumor and residual recurrence. Results There were no signifcant differences in operation time, blood loss, length of hospital stay and anal exhaust time between the two groups. The proportion of patients in the observation group and the recurrence rate within 12 months were signifcantly lower than those in the control group, the number of uterine leiomyomas in the observation group was signifcantly lower than that in the control group at 3 months, 6 months, 9 months and 12 months after operation. The patients in the two groups were followed up for 3 months and 6 months the maximum diameter of uterine leiomyoma was not statistically significant, the observation group 9 months and 12 months after the maximum diameter of uterine fbroids was signifcantly lower than the control group, and the difference was statistically signifcant; with the patient’s uterine muscle the number of residual tumor and the recurrence rate were significantly increased. When the number of uterine leiomyomas was 10 or more, the residual rate was 100.0% and the recurrence rate was 80.0%. Conclusion Laparoscopic ultrasonography assistance in minimally invasive surgery for patients with uterine fbroids can effectively reduce the postoperative residual rate and recurrence rate, worthy of clinical promotion.
作者
薛文丹
邢孔丽
李小清
Wen-dan Xue;Kong-li Xing;Xiao-qing Li(Department of Ultrasound Medicine, Haikou Maternal and Child Health Hospital, Haikou, Hainan 571199, China)
出处
《中国内镜杂志》
北大核心
2017年第11期46-50,共5页
China Journal of Endoscopy
关键词
子宫肌瘤
超声
腹腔镜
微创
uterine fbroids
ultrasound
laparoscopy
minimally invasive surgery
