肖琳 崔军丽

【摘要】 目的：探讨子宫肌瘤患者接受腹腔镜下子宫肌瘤剔除术、子宫动脉栓塞术治疗的效果及价值。方法：选取笔者所在医院2015年5月-2018年5月接收的子宫肌瘤患者62例，采用随机数字表法分为观察组与对照组，各31例。对照组接受腹腔镜下子宫肌瘤剔除术治疗，观察组接受子宫动脉栓塞术治疗。对比两组临床疗效，并观察治疗后子宫及肌瘤体积水平、卵巢各指标水平情况。结果：两组治疗总有效率比较差异无统计学意义（P>0.05）。观察组治疗后子宫体积、肌瘤体积均低于对照组，FSH、LH、PRL、P、E2水平均低于对照组，差异均有统计学意义（P<0.05）。结论：腹腔镜下子宫肌瘤剔除术与子宫动脉栓塞术治疗子宫肌瘤效果相当，但子宫动脉栓塞术对于改善患者子宫、肌瘤体积及卵巢各指标来说效果更为理想。

【关键词】 子宫肌瘤 腹腔镜 子宫肌瘤剔除术 子宫动脉栓塞术 卵巢指标

doi：10.14033/j.cnki.cfmr.2019.30.010 文献标识码 B 文章编号 1674-6805（2019）30-00-02

[Abstract] Objective： To investigate the efficacy and value of laparoscopic myomectomy and uterine artery embolization for the treatment of uterine fibroids. Method： A total of 62 patients with uterine fibroids admitted to our hospital from May 2015 to May 2018 were selected and divided into 2 groups by random number table method， with 31 cases in the observation group and 31 cases in the control group. The control group received laparoscopic myomectomy and the observation group received uterine artery embolization. The clinical efficacy of the two groups was compared， and the uterine， fibroid volume and ovarian indexes were observed after treatment. Result： There was no significant difference in the total effective rate between the two groups （P>0.05）. After treatment， the volume of uterus and myoma in the observation group was lower than that in the control group， and the level of FSH， LH， PRL， P， E2 were lower than those in the control group， the differences were statistically significant （P<0.05）. Conclusion： Laparoscopic myomectomy is as effective as uterine artery embolization in the treatment of uterine fibroids， but the effect of uterine artery embolization is more ideal for improving the volume of uterine fibroids and ovarian indicators.

[Key words] Uterine fibroids Laparoscope Myomectomy Uterine artery embolization Ovary index

First-authors address： Daye Peoples Hospital， Daye 435100， China

子宫肌瘤是人体中最常见的肿瘤之一，主要是由子宫平滑肌细胞增生而成，又可称为子宫纤维瘤、纤维肌瘤[1]。子宫肌瘤中有少量纤维结缔组织作为一种支持组织而存在，其发病机制较为复杂，多项研究证实，性激素、局部生长因子、肌层细胞突变等因素均可诱发该病[2]。腹腔镜下子宫肌瘤剔除术与子宫动脉栓塞术是治疗子宫肌瘤的常见方式，治疗效果较为理想，但两者各具优势，导致预后情况也各不相同。基于此，本研究主要探讨子宫肌瘤患者接受腹腔鏡下子宫肌瘤剔除术、子宫动脉栓塞术治疗的效果及价值，具体如下。

1 资料与方法

1.1 一般资料

选取笔者所在医院2015年5月-2018年5月接收的子宫肌瘤患者62例。纳入标准：均经宫颈细胞学病理检查、子宫B超检查得以确诊。排除……