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目的探讨腹腔镜子宫肌瘤剔除术前使用米非司酮的临床疗效。方法选取2013年1月-2015年1月收治的子宫肌瘤患者150例。随机分为观察组与对照组各75例。对照组术前不服用米非司酮。观察组术前服用米司非酮,比较2组患者术前平均子宫肌瘤直径及血红蛋白含量,并记录2组手术时间、术中出血量及不良反应发生情况。结果观察组术前平均子宫肌瘤直径明显小于对照组,血红蛋白含量明显高于对照组;观察组术中出血量及手术时间明显少于对照组,差异均有统计学意义(P<0.05)。观察组在使用米非司酮后均出现停经状况,服药过程中出现恶心、食欲不振等症状4例(5.3%),但随着服药时间的增长,症状逐渐缓解;服药过程中肝功能出现异常2例(2.7%),行针对性护肝治疗,在停止服用米司非酮后症状消失。结论子宫肌瘤患者在进行腹腔镜子宫肌瘤剔除术前服用米非司酮能明显减小肌瘤直径,增加血红蛋白含量,使得术中出血量明显减少,手术过程变得简单,也能明显缩短手术时间,有效提高治疗效果。
Objective To investigate the clinical efficacy of mifepristone before laparoscopic myomectomy. Methods 150 patients with uterine fibroids admitted from January 2013 to January 2015 were enrolled. Randomly divided into observation group and control group of 75 cases. The control group did not take mifepristone before operation. The patients in the observation group were given mifepristone before operation. The mean uterine fibroids diameter and hemoglobin content in the two groups were compared. The operation time, intraoperative blood loss and adverse reactions were recorded. Results The average preoperative uterine fibroids diameter was significantly smaller than the control group, hemoglobin content was significantly higher than the control group; the observation group bleeding volume and operation time was significantly less than the control group, the difference was statistically significant (P <0.05). The observation group showed menopause after using mifepristone, and nausea and loss of appetite were observed in 4 cases (5.3%) during the course of medication. However, the symptoms gradually eased with the increase of medication time. The liver function was abnormal during the medication Two patients (2.7%) were treated with targeted liver protection and the symptoms disappeared after stopping taking mifepristone. Conclusion In patients with uterine fibroids, laparoscopic myomectomy before taking mifepristone can significantly reduce the fibroids diameter and increase hemoglobin content, making the blood loss decreased significantly, the operation process becomes simple and can be significantly shortened Surgery time, effectively improve the treatment effect.