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目的 减少子宫肌瘤剔除术时出血。方法 在近子宫峡部距子宫动脉外靠近子宫动脉上行支约0 .5cm无血管区穿透阔韧带前后页 ,将消毒橡皮圈从前至后穿出 ,绕过宫颈后方从对侧水平处洞穿阔韧带 ,由后至前拉出橡皮圈 ,两头拉紧 ,触摸子宫动脉上行支无搏动感时 ,用纹式血管钳钳夹橡皮条两端固定 ,然后行常规肌瘤剔除术。结果 子宫动脉阻断组术中出血明显少于对照组 ,手术时间短、并发症少。结论 经过16例病人的临床应用 ,子宫动脉阻断法具有术中出血少 ,手术视野清晰 ,手术时间短 ,利于病人术后恢复等优点 ,值得临床推广应用。
Objective To reduce bleeding during myomectomy. Methods In the vicinity of the isthmus, close to the uterine artery uterine artery artery dilated branches about 0.5cm without vascular area through the broad ligament before and after the page, the sterile rubber band pierced from front to back, around the back of the cervix from the contralateral level through the broad ligament , Pulled out from before to after the rubber band, two tighten, touch the uterine artery branch stroke pulse sense, the use of vasculature clamp clamp at both ends of the rubber strips, and then line myomectomy. Results Uterine artery occlusion group was significantly less bleeding than the control group, the operation time is short, fewer complications. Conclusion The clinical application of 16 patients, uterine artery occlusion has less intraoperative bleeding, a clear field of vision, short operative time, which is conducive to postoperative recovery, etc., worthy of clinical application.