摘要
目的 探讨腹腔镜下阻断子宫血流联合子宫肌瘤剔除术治疗子宫肌瘤的临床效果.方法 将2017年8月至2018年10月我院收治的88例子宫肌瘤患者纳入本次研究,按照治疗方法的不同将其分为研究组与参照组,每组44例.研究组采用腹腔镜下阻断子宫血流联合子宫肌瘤剔除术治疗,参照组采用子宫肌瘤剔除术治疗.比较两组患者的治疗效果.结果 治疗后,研究组的FSH水平明显高于参照组,差异具有统计学意义(P<0.05);治疗后,两组LH、E2水平比较,差异不显著(P>0.05).研究组术中出血量少于参照组,住院时间、排气时间短于参照组,差异具有统计学意义(P<0.05).研究组的月经恢复情况优于参照组,子宫肌瘤复发率低于参照组,差异具有统计学意义(P<0.05).研究组并发症总发生率低于参照组,差异具有统计学意义(P<0.05).结论 腹腔镜下阻断子宫血流联合子宫肌瘤剔除术能够减少术中出血量及组织损伤,避免手术感染,有效提高肿瘤清除率,进而促进预后效果.
Objective To investigate the clinical effect of laparoscopic uterine blood flow resection combined with myomectomy in the treatment of uterine leiomyomas. Methods A total of 88 patients with uterine leiomyomas admitted in our hospital from August 2017 to October 2018 were included in this study. According to different treatment methods, the patients were divided into study group and reference group, with 44 cases in each group. The study group was treated with laparoscopic uterine blood flow resection combined with myomectomy, while the reference group was treated with myomectomy. The therapeutic effects of the two groups were compared. Results After treatment, the FSH level in the study group was significantly higher than that in the reference group, the difference was statistically significant( P <0.05);after treatment, there were no significant differences in the levels of LH and E2 between the two groups(P >0.05). The intraoperative blood loss in the study group was less than that in the reference group, and the hospital stay and exhaust time were shorter than those in the reference group, the differences were statistically significant(P <0.05). Menstrual recovery in the study group was better than that in the reference group, and the recurrence rate of uterine leiomyomas was lower than that in the reference group, the differences were statistically significant(P <0.05). The total incidence of complications in the study group was lower than that in the control group, the difference was statistically significant( P<0.05). Conclusion Laparoscopic uterine blood flow resection combined with myomectomy can reduce intraoperative blood loss and tissue damage, avoid surgical infection, effectively improve the tumor clearance rate and promote the prognosis.
作者
王宁
郑培阳
WANG Ning;ZHENG Pei-yang(Baoji Hi-tech People's Hospital,Baoji 721000;the Second Hospital of Weinan,Weinan 714000,China)
出处
《临床医学研究与实践》
2019年第33期75-77,共3页
Clinical Research and Practice
