医用透明质酸钠预防子宫肌瘤剔除术盆腔粘连的临床观察  

作　　者：郭锦芳[1] 杜军强[1] 厉华卿[1] 

机构地区：[1]温州医科大学附属东阳医院,322100

出　　处：《浙江临床医学》2015年第1期30-31,共2页Zhejiang Clinical Medical Journal

基　　金：吴阶平医学基金会临床科研资金项目（2011-427-207）

摘　　要：目的进一步探讨医用透明质酸钠（HA）预防子宫肌瘤剔除术盆腔粘连的疗效及作用机制。方法选取2011年4月至2013年7月行腹腔镜下子宫肌瘤剔除术患者共453例，符合条件325例，随机分为观察组（260例）和对照组（654例）。术中在其病灶及相应的腹膜部位涂抹HA20ml，术后根据月经情况、腹部体征、盆腔B超判定，对患者术后粘连情况进行比较。结果两组患者术后B超及月经情况差异有统计学意义（P〈0．05）。结论医用透明质酸钠预防子宫肌瘤剔除术盆腔粘连有治疗意义。Objective To investigate the medical effect and mechanism of sodium hyaluronate for the prevention of pelvic adhesions aftermyomectomy. Methods 453 Patients with laparoscopic myomectomy in the hospital divided into study group and the control group from April 2011-2013 July, the study group 260 cases, 65 cases in the control group, does not agree the conditions of 128 cases. Surgery in their peritoneal lesions and the corresponding parts of the painting sodium hyaluronate about 20ml, according to menstruation after abdominal symptoms, pelvic B-determination, to compare postoperative adhesions. Results The postoperative period in the case of B-and the difference was statistically significant （ P〈0.05 ） . Conclusion Medical sodium hyaluronate can significantly prevent pelvic adhesions after myomectomy.

关 键 词：医用透明质酸钠 子宫肌瘤 盆腔粘连 

分 类 号：R737.33[医药卫生—肿瘤]