可逆性阻断子宫动脉上行支在腹腔镜下子宫肌瘤剔除术中的应用研究

2016-01-28任璐

中国继续医学教育 2015年17期

任璐

任璐

【摘要】目的研究分析对子宫动脉上行支行可逆性阻断在腹腔镜下子宫肌瘤剔除术中运用的临床疗效。方法选取我院收治的75例子宫肌瘤患者，随机分组为治疗组（40例）和对照组（35例），治疗组在子宫肌瘤提出前行子宫动脉上行支可逆性阻断，对照组直接行肌瘤剔除，通过比较两组手术时间、手术出血、排气情况、复发和术后月经情况等评估疗效。结果两组患者手术均顺利完成，治疗组手术时间短于对照组；手术出血治疗组少于对照组（P＜0.05）；首次肛门排气时间治疗组和对照组，无明显差异（P＞0.05）；术后复发率治疗组优于对照组的（P＜0.05）；治疗组术后首次月经来潮时间与对照组差异显著（P ＜0.05）。结论可逆性阻断子宫动脉上行支在腹腔镜下子宫肌瘤剔除术中的运用，具有缩短手术时间，减少术中出血量，减少复发机会，不增加手术并发症等优点。

【关键词】子宫动脉；腹腔镜；子宫肌瘤

作者单位：475000开封，河南大学淮河医院妇产科

Study on the Application of Reversible Uterine Artery Ascending Branch in Laparoscopic Resection of Uterine Myoma

REN Lu, He’nan university hospital obstetrics and gynecology of the huaihe, Kaifeng 475000, China

[Abstract]Objective To study the analysis of uterine artery ascending branch reversible block in laparoscopic uterine fibroids eliminate intraoperative use of clinical curative effect. Methods 75 cases of patients with uterine fibroids were chosen our hospital, along with the grouped into treatment group (40 cases) and control group (35 cases) and treatment group in uterine fibroids on uterine artery ascending branch of reversible block, control line directly fibroids, by comparing the two groups of operation time, surgical bleeding, exhaust, recurrence and postoperative outcomes assessment such as menstrual condition. Results Two groups of patients were successfully completed, the treatment group operation was shorter than the control group. Surgical bleeding treatment group was less than the control group (P<0.05). First anal exhaust time in treatment group and control group, no significant difference (P>0.05). The postoperative recurrence rate in treatment group is better than that of control group (P<0.05). Treatment group after operation for the first time menstruation time and the control group significant difference (P<0.05). Conclusion Reversible block in laparoscopic uterine artery ascending branch of uterine fibroids rejecting the application, shorten the operation time, reduce intraoperative blood loss, reduce recurrence, does not increase the advantages of surgical complications.

[Key words]Uterine artery, Laparoscope, Uterine fibroids

子宫肌瘤在35周岁以上的女性中发病率达20%左右[1]，腹腔镜已经普遍运用于临床，作者在此研究分析可逆性阻断子宫动脉上行支对腹腔镜子宫肌瘤剔除术临床疗效的影响，现报告如下。