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目的探讨腹腔镜子宫动脉阻断术治疗子宫腺肌瘤的临床疗效。方法将我院90例子宫肌瘤患者随机分为两组各45例,对照组行腹腔镜下单纯子宫肌瘤术,观察组行腹腔镜下子宫动脉阻断联合肌瘤切除术,观察两组临床疗效。结果观察组术中出血量和住院时间明显少于对照组,肌瘤复发率明显低于对照组,月经改善率明显高于对照组,差异均有统计学意义。结论腹腔镜下先行子宫动脉阻断再行肌瘤切除治疗子宫腺肌瘤,可有效减少术中出血量,缓解月经过多,降低肌瘤复发率。
Objective To investigate the clinical efficacy of laparoscopic uterine artery occlusion in the treatment of adenomyosis. Methods 90 patients with uterine fibroids in our hospital were randomly divided into two groups of 45 cases, the control group underwent laparoscopic simple uterine fibroids, the observation group underwent laparoscopic uterine artery with myomectomy, the two groups were observed Clinical efficacy. Results The intraoperative blood loss and hospitalization time in the observation group were significantly less than those in the control group. The recurrence rate of fibroids was significantly lower than that of the control group. The improvement rate of menstruation was significantly higher than that of the control group. The differences were statistically significant. Conclusions Laparoscopic first uterine artery occlusion followed by myomectomy for uterine adenomyoma can effectively reduce intraoperative blood loss, relieve menorrhage, and reduce the recurrence rate of fibroids.