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目的探讨腹腔镜下子宫肌瘤剔除术术中子宫动脉阻断的止血效果。方法选取2008—2012年60例腹腔镜下子宫肌瘤剔除术分别采用双侧子宫动脉阻断(子宫动脉阻断组30例)和宫体注射缩宫素20 U(缩宫素组30例)2种止血方法,比较2组手术时间、术中出血量、术后引流量、术后排气、住院时间等指标。结果子宫动脉阻断组术中出血量和术后引流量分别为(55.4±18.4)mL、(68.4±7.1)mL,少于缩宫素组的(79.2±22.4)mL、(86.1±10.1)mL(t=3.106,P=0.003;t=2.258,P=0.028),但2组手术时间、术后排气、住院时间差异无统计学意义(P>0.05)。结论腹腔镜子宫肌瘤切除术中采用子宫动脉阻断可以明显减少术中出血。
Objective To investigate the hemostatic effect of uterine artery occlusion during laparoscopic myomectomy. Methods Sixty patients undergoing laparoscopic myomectomy from 2008 to 2012 were treated with bilateral uterine artery occlusion (30 cases of uterine artery occlusion group) and 20 U (oxytocin group of 30 cases) Two kinds of hemostasis methods were compared between two groups of operation time, intraoperative blood loss, postoperative drainage, postoperative exhaust, hospitalization time and other indicators. Results The amount of bleeding and the amount of postoperative drainage were (55.4 ± 18.4) mL and (68.4 ± 7.1) mL, respectively, less than those in oxytocin group (79.2 ± 22.4 mL and 86.1 ± 10.1) (t = 3.106, P = 0.003; t = 2.258, P = 0.028). However, there was no significant difference in the operation time, postoperative exhaust and hospitalization time between the two groups (P> 0.05). Conclusion Laparoscopic myomectomy with uterine artery block can significantly reduce intraoperative bleeding.