子宫动脉结扎及垂体后叶素在腹腔镜子宫肌瘤剔除术中的应用  

Effects of uterine artery occlusion and pituitrin for laparoscopic myomectomy

作　　者：李万珍[1] 张丽华[1] 

机构地区：[1]成都市第五人民医院妇产科,四川成都611130

出　　处：《四川医学》2013年第7期986-987,共2页Sichuan Medical Journal

摘　　要：目的比较腹腔镜子宫肌瘤剔除术中子宫动脉结扎及垂体后叶素的应用。方法回顾性分析2010年1月～6月本院收治的58例行子宫肌瘤剔除手术的患者资料,选择子宫动脉结扎及垂体后叶素子宫肌肉注射后行肌瘤剔除手术患者各29例,比较两组方式术中出血、手术时间、手术并发症及术后复发情况。结果全部患者均成功在腹腔镜下行肌瘤剔除术,无手术并发症出现,术中出血差异无显著性。与子宫动脉结扎比较,垂体后叶素组手术时间较短但复发率稍高。结论子宫动脉结扎及垂体后叶素子宫体肌肉注射在子宫肌瘤剔除手术中均可较好地控制出血;垂体后叶素使用方便,有利于对控制手术时间的控制,但存在远期复发的可能;子宫动脉结扎可有效抑制肌瘤复发,但其手术时间相对较长,对操作者技术要求高。Objective To study the effects of uterine artery occtusion and pituitrin for Laparoscopic myomectomy.Methods 58 cases in our hospital from January to June,2010 were analyzed retrospectivey,the uterine artery ligation group and pituitrin group,29 cases in each.bleeding,operative time,complications,and recurrence were compared.Results All laparoscopic surgery were successful completed without complications,the difference blood loss has not significant,pituitrin group had shorter operative time but the recurrence rate was slightly higher compared with uterine artery ligation group.Conclusion Uterine artery ligation and pituitrin could control the bleeding;pituitrin anay control surgery time effect significant,but more recurrence;uterine artery ligation may effectively inhibit fibroid recurrence,but its relatively long operation time and more technical requirements to the operator.

关 键 词：子宫动脉结扎 垂体后叶素 腹腔镜 子宫肌瘤 子宫肌瘤剔除术 

分 类 号：R737.33[医药卫生—肿瘤]