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目的:探讨子宫肌瘤行腹腔镜下子宫动脉阻断后行子宫肌瘤切除术的效果。方法:将48例子宫肌瘤患者随机分为观察组25例和对照组23例,观察组采用腹腔镜下子宫动脉阻断后行子宫肌瘤切除术,对照组直接行腹腔镜下子宫肌瘤切除术。观察两组手术时间、术中出血量、术后体温变化、术后住院时间,随访12～18个月月经恢复和子宫肌瘤复发情况。结果:两组手术时间、术中出血量、术后体温>38℃、术后住院时间比较差异有统计学意义(P<0.05)。结论:腹腔镜下子宫动脉阻断后行子宫肌瘤切除术可明显减少术中出血,是一种临床上安全、有效的治疗子宫肌瘤的手术方法。
Objective: To investigate the effect of hysterectomy and uterine myomectomy after laparoscopic uterine artery embolization. Methods: Forty-eight patients with uterine fibroids were randomly divided into observation group (n = 25) and control group (n = 23). The observation group was treated by laparoscopic uterine artery occlusion followed by hysterectomy and the control group received laparoscopic uterine fibroids cut. The operation time, intraoperative blood loss, postoperative body temperature, postoperative hospital stay and follow-up of 12-18 months of menstruation and recurrence of uterine myoma were observed. Results: The operation time, intraoperative blood loss, postoperative body temperature> 38 ℃, postoperative hospitalization time difference was statistically significant (P <0.05). Conclusion: Laparoscopic uterine artery myomectomy after hysterectomy can significantly reduce intraoperative bleeding, is a clinically safe and effective surgical treatment of uterine fibroids.