腹腔镜下肌瘤挖除术时两种子宫动脉阻断术式的比较  

The clinical application of a modified method of uterine artery blocking in laparoscopic myomectomy

作　　者：施建红 石磊[2] 马越[2] 孟瑶 王欢[2] 宋永胜 李大可[4] SHI Jianhong;SH;MA Yue;MENG Yao;WANG Huan;SONG Fongsheng;LI Dake(Department of Gynecology,Guannan County Hospital of Traditional Chinese Medicine,Lianyungang 222500,Jiangsu,China;Nanjing University of Chinese Medicine,Nanjing 210023,Jiangsu,China;Department of Andrology,Nanjing Jianguo Hospital,Nanjing 210023,Jiangsu,China;Department of Gynecology,Jiangsu Provincial Hospital of Traditional Chinese Medicine,Nanjing 210023,Jiangsu,China)

机构地区：[1]灌南县中医院妇产科,江苏连云港222500 [2]南京中医药大学,南京210023 [3]南京建国医院男科,南京210001 [4]江苏省中医院妇科,南京210029

出　　处：《中国性科学》2018年第8期68-70,共3页Chinese Journal of Human Sexuality

摘　　要：目的:探讨腹腔镜子宫肌瘤切除术中一种改良子宫动脉阻断术的临床应用价值。方法:将2015年12月至2016年12月江苏省中医院的76例子宫肌瘤患者随机分为两组,改良组(n=38)行腹腔镜下子宫肌瘤切除术联合改良的子宫动脉阻断术;对照组(n=38)按传统手术方式行腹腔镜下子宫肌瘤切除术联合子宫动脉阻断术,对比分析两组患者的手术时间、术中出血量、术后恢复情况以及住院时间等指标。结果:改良组手术时间与经典组相比明显缩短,两组手术时间差异具有统计学意义(P <0. 05)。两组术中失血情况虽无统计学意义(P> 0. 05),但经典组出血量多于改良组。两组术后排气时间及住院天数差异无统计学意义(P> 0. 05)。结论:改良型子宫动脉阻断术治疗子宫肌瘤能够减少手术时间及术中出血量,降低了发生手术并发症的几率,降低了对女性性功能的影响,值得临床上推广应用。Objective：To explore the clinical application of a modified method of uterine artery blocking in laparoscopic my-omectomy. Methods：76 patients with uterine myoma in Jiangsu Provincial Hospital of Traditional Chinese Medicinefrom December 2015 to December 2016were randomly divided into two groups. Patients in experimental group（ modified operation group） underwent modified uterine artery blocking before laparoscopic myomectomy, while patients in the control group （traditional operation group） received traditional uterine artery blocking before laparoscopic my-omectomy. The operation duration, intraoperative blood loss, postoperative recovery andlength of stay were compared and analyzed between the two groups. Results： The average operation duration in experimental group（ modified operation group） was significantly shorter than that of control group （traditional operation group） （P 〈 0. 05 ）. Differences in intraoperative blood loss, postoperative anal exhaust time andlength of stay between patients in the two groups were not significantly different（ P 〉 0. 05 ）. Conclusions ： The modified uterine artery blocking in laparoscopic myomectomy is safe and effective, which can reduce the operation duration, intraoperative blood loss and the impact on female sexual function.

关 键 词：子宫肌瘤 腹腔镜 子宫肌瘤切除术 子宫动脉阻断术 

分 类 号：R737.33[医药卫生—肿瘤]