腹腔镜下子宫肌瘤剔除术联合子宫动脉上行支血流阻断的临床观察  

Laparoscopic myomectomy joint uterine artery uplink a clinical observation of the blocked blood flow

作　　者：伍宗惠[1] 彭冰[2] 

机构地区：[1]泸州医学院附属医院妇产科,四川泸州646000 [2]四川大学华西第二医院妇产科,成都610000

出　　处：《重庆医学》2012年第30期3143-3145,共3页Chongqing medicine

基　　金：国家自然科学基金资助项目(81070460)

摘　　要：目的探讨腹腔镜下子宫动脉上行支血流阻断辅助子宫肌瘤剔除术的疗效。方法将2007年1月至2008年12月纳入研究的子宫肌瘤患者,随机分为观察组74例,腹腔镜下子宫动脉上行支血流阻断辅助下行子宫肌瘤剔除;对照组69例,常规腹腔镜下子宫肌瘤剔除术。观察术中出血量、手术时间,副损伤及术后并发症的发生、排气时间,住院时间及复发率。结果观察组术中出血量明显少于对照组,差异有统计学意义(P=0.000);观察组手术时间短于对照组,差异有统计学意义(P=0.034)。均无副损伤。两组的术后排气时间,发热、腹痛情况及住院天数比较,差异均无统计学意义(P>0.05)。观察组的术后复发率明显低于对照组,差异有统计学意义(P=0.017)。结论镜下子宫动脉上行支血流阻断辅助子宫肌瘤剔除术减少了术中出血量,缩短手术时间,副损伤不增加,还降低复发率。Objective To investigate the curative effect of ascending branch of uterine artery blood flow occlusion to assist in myomectomy under laparoscopes.Methods Patients admitted from Jan 2007 to Dec 2008 were divided into two groups：observation group（74 cases） and control group（69 cases）.The patients in observation group experienced with ascending branch of uterine artery blood flow occlusion to assist in myomectomy under laparoscopes.The patients in control group experienced with routine myomectomy under laparoscopes.Intraoperative bleeding volume,operation time,secondary damage and postoperative complications,evacuating time,length of stay and relapse rate were observed.Results Traoperative bleeding volume in observation group was not so many as that in control group,there was significant difference（P=0.000）.Operation time in observation group was shorter than that in control group significantly（P=0.034）.There was no secondary damage in the two groups.There were no significant difference in postoperative complications,evacuating time and length of stay between the two groups（P〉0.05）.Postoperative recurrence rate in observation group was lower than that in control group significantly（P=0.017）.Conclusion Scending branch of uterine artery blood flow occlusion to assist in myomectomy under laparoscopes without secondary damage not only decreases the intraoperative bleeding volume,shortens operation time but also decreases recurrence rate in a certain degree.

关 键 词：腹腔镜检查 平滑肌瘤 子宫肿瘤 结扎术 子宫动脉上行支 

分 类 号：R737.33[医药卫生—肿瘤]