吴晓燕

[摘要]目的 探讨在腹腔镜下实施子宫动脉阻断联合肌瘤剔除术并进行护理配合的临床效果。方法 选取我院在2015年3月～2016年1月收治的66例子宫肌瘤患者作为本次的研究对象，将其随机分为观察组与对照组，各33例。给予观察组患者实施腹腔镜下子宫动脉阻断联合肌瘤剔除术，给予对照组患者实施腹腔镜下子宫肌瘤剔除术，均给予两组患者在围术期间实施护理配合。比较两组患者的手术时间、术中出血量、住院时间、并发症发生率。结果 观察组手术时间长于对照组，术中出血量少于对照组，住院时间短于对照组，并发症发生率低于对照组，差异有统计学意义（P<0.05）。结论 给予子宫肌瘤患者实施腹腔镜下子宫动脉阻断联合肌瘤剔除术并加入全面且细致的护理配合，能够显著降低患者的并发症发生率，缩短患者的住院时间，使患者快速恢复正常的生活，值得临床推广应用。

[关键词]腹腔镜下子宫动脉阻断；肌瘤剔除术；子宫肌瘤；护理配合

[中图分类号] R473.71 [文献标识码] A [文章编号] 1674-4721（2017）08（c）-0157-04

[Abstract]Objective To explore the clinical effect of laparoscopic uterine artery blockage combined with myomectomy and nursing care.Methods 66 patients with uterine fibroids treated in our hospital from March 2015 to January 2016 were selected as the subjects and were divided into the observation group and the control group according to the time of admission.The observation group was given laparoscopic uterine artery blockage combined with myomectomy.The control group was given laparoscopic myomectomy.All the patients were treated with nursing care during the perioperative period.The duration of surgery，intraoperative blood loss，length of hospital stay and the incidence of complications were compared between two groups.Results The duration of surgery in the observation group was longer than that in the control group，the intraoperative blood loss was less than that in the control group，the length of hospital stay was shorter than that in the control group，the incidence of complications was lower than that in the control group，and the differences were statistically significant （P<0.05）.Conclusion Laparoscopic uterine artery blockage combined with myomectomy and comprehensive and meticulous care cooperation can significantly reduce the incidence of complications and shorten the length of hospital stay，so that patients can quickly return to normal life，worthy of clinical application.

[Key words]Laparoscopic uterine artery blockage；Myomectomy；Uterine fibroids；Nursing cooperation

子宮肌瘤是临床上的常见病，属于良性肿瘤，高发人群为育龄女性[1]。随着社会的发展，生活水平的不断提高，现代子宫肌瘤患者对临床治疗效果提出了更高的要求[2]。目前，临床上对于子宫肌瘤患者的主要治疗方法为手术治疗，通过手术可达到彻底的治愈[3]。在以往的手术方法中，子宫完全切除为主要方案，但越来越多的现代子宫肌瘤患者提出要保留子宫和妊娠的权利，因此，以往的切除子宫方案已不能够适应现代患者的需求[4]。腹腔镜下子宫肌瘤剔除术问世于20世纪90年代，经过不断的发展与研究，腹腔镜下子宫动脉阻断联合肌瘤剔除术得到了更为全面的应用，其具有出血量少、预后佳等特点[5]。……