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目的:探讨应用自制线圈套扎子宫肌瘤瘤底部或子宫峡部在腹腔镜下进行子宫肌瘤剔除术的可行性及临床价值。方法:对160例子宫肌瘤患者在腹腔镜下行子宫肌瘤剔除术,随机分为腹腔镜套扎和腹腔镜常规缝合2组,每组各80例,对其临床资料回顾性分析,观察手术并发症、手术时间、术中出血量及术后恢复情况。结果:所有病例手术均获成功,无手术并发症发生。腹腔镜套扎组平均手术时间短于腹腔镜缝合组(P<0.01),套扎组平均术中出血量少于缝合组(P<0.01);两组剔除子宫肌瘤数日、子宫肌瘤大小、术后平均住院时间相比差异无统计学意义。子宫多发肌瘤、肌壁间肌瘤术中出血量及手术时间明显多于子宫阔韧带肌瘤及子宫浆膜下肌瘤,差异有统计学意义(P<0.05)。结论:在腹腔镜下子宫肌瘤剔除术中应用自制线圈套扎法可有效减少术中出血,缩短手术时间,操作简便,安全可行,易于推广。
Objective: To investigate the feasibility and clinical value of laparoscopic myomectomy at the bottom of uterine fibroids or at the isthmus of the uterus using a homemade coil. Methods: 160 cases of uterine fibroids in patients underwent laparoscopic myomectomy, were randomly divided into laparoscopic laparoscopic ligation and conventional suture in two groups, 80 cases in each group, the clinical data were retrospectively analyzed, the observation of surgery Complications, operation time, intraoperative blood loss and postoperative recovery. Results: All the cases were successful in operation and no operative complications occurred. Laparoscopic ligation group shorter than the average operative time laparoscopic suture group (P <0.01), ligation group mean blood loss less than the suture group (P <0.01); two groups of uterine fibroids removed a few days, uterine fibroids The average size of postoperative hospital stay was no significant difference. Uterine fibroids, intramural fibroids intraoperative bleeding and surgery time was significantly more than the uterine fibroids and uterine fibroids, the difference was statistically significant (P <0.05). Conclusion: Laparoscopic myomectomy using homemade coil ligation method can effectively reduce intraoperative bleeding, shorten the operation time, easy to operate, safe and feasible, easy to promote.