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目的分析腹腔镜下子宫动脉阻断在子宫肌瘤切除术中的应用效果。方法回顾性分析51例腹腔镜下完成子宫动脉阻断病例的资料。结果 51例中,双侧子宫动脉后路阻断41例(80%),双侧子宫动脉前路阻断4例(8%),一侧前路阻断加对侧后路阻断6例(12%)。永久性阻断子宫动脉38例,临时性阻断子宫动脉13例。术中出血平均54ml,术后随访月经为正常经量50例;盆腔压迫症状均消失。术后妊娠并足月分娩2例,术后2个月意外妊娠后人工流产1例。结论子宫肌瘤切除术中大部分病例可通过后路阻断完成;成功的血管阻断可控制术中失血量,有利于子宫创面愈合。永久性子宫动脉阻断可能不影响生育功能。
Objective To analyze the effect of laparoscopic uterine artery occlusion in myomectomy. Methods A retrospective analysis of 51 cases of complete laparoscopic uterine artery occlusion data. Results Among the 51 cases, 41 cases (80%) were blocked by bilateral uterine artery, 4 cases (8%) were blocked by bilateral uterine artery, and 6 cases (12%). 38 cases of permanent uterine artery block, 13 cases of uterine artery block temporarily. Intraoperative bleeding average 54ml, menstrual follow-up menstrual flow for the normal amount of 50 cases; pelvic compression symptoms disappeared. Postpartum pregnancy and full-term delivery in 2 cases, 2 months after accidental pregnancy induced abortion in 1 case. Conclusion Most cases of myomectomy can be blocked by posterior approach. Successful vascular occlusion can control the amount of blood loss during operation and is beneficial to the wound healing of the uterus. Permanent uterine artery occlusion may not affect fertility.