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目的研究腹腔镜下子宫动脉阻断后行肌瘤剥除术治疗子宫肌瘤的疗效。方法 94例子宫肌瘤患者,随机分为对照组48例和实验组46例。对照组采用常规腹腔镜下子宫肌瘤剥除术,实验组则是腹腔镜下先行子宫动脉阻断再进行子宫肌瘤剥除术。将两组患者的手术情况、月经缓解率及肌瘤复发率进行比较。结果对照组与实验组平均手术时间、术后排气时间、住院时间比较差异无统计学意义(P>0.05);实验组术中出血量明显少于对照组,月经缓解率明显高于对照组,且肌瘤复发率明显低于对照组,差异均有统计学意义(P<0.05)。结论对于子宫肌瘤的治疗,腹腔镜下子宫动脉阻断后肌瘤剥除术可有效缓解临床症状,术中出血大大减少,降低了肌瘤复发率,是较为理想的治疗方式。
Objective To study the efficacy of myomectomy in the treatment of uterine fibroids after laparoscopic uterine artery occlusion. Methods 94 patients with uterine fibroids were randomly divided into control group of 48 patients and experimental group of 46 patients. The control group was treated with conventional laparoscopic hysterectomy, and the experimental group was laparoscopic uterine arterial occlusion followed by uterine fibroids stripping. The two groups of patients with surgery, menstrual remission rate and recurrence rate of fibroids were compared. Results There was no significant difference between the control group and the experimental group in mean operative time, postoperative exhaust time and hospital stay (P> 0.05). The bleeding volume in the experimental group was significantly less than that in the control group, and the menstrual remission rate was significantly higher than that in the control group , And the recurrence rate of fibroids was significantly lower than that of the control group, the differences were statistically significant (P <0.05). Conclusion For the treatment of uterine fibroids, laparoscopic myomectomy after uterine artery blockade can effectively relieve the clinical symptoms, reduce the bleeding and reduce the recurrence rate of myoma, which is an ideal treatment.