不同子宫动脉阻断法在腹腔镜子宫肌瘤剔除术中的应用效果对比  

Comparison of effects of different uterine artery block methods in laparoscopic myomectomy

作　　者：张丹丹 陈晓霞[2] Zhang Dandan;Chen Xiaoxia(Lingbao No.2People′s Hospital,Sanmenxia472500,Henan Province,China;Sanmenxia Central Hospital,Sanmenxia472000,Henan Province,China)

机构地区：[1]灵宝市第二人民医院,河南三门峡472500 [2]三门峡市中心医院,河南三门峡472000

出　　处：《辽宁医学杂志》2023年第1期9-12,共4页Medical Journal of Liaoning

摘　　要：目的 旨在讨论不同子宫动脉阻断法(UAB)在腹腔镜子宫肌瘤剔除术(LM)中的应用效果对比。方法 选择我院收治行LM治疗的子宫肌瘤患者60例作为研究对象,按随机数表法随机分为电凝组与止血带组各30例,两组均采用子宫动脉阻断术联合LM进行治疗。电凝组采用腹腔镜下子宫动脉双极电凝进行阻断,止血带组采用止血带阻断法。比较两组手术时间、术后排气时间、住院时间、术中出血量的差异;比较两组术前与术后3个月时患者性激素[雌二醇(E2)、卵泡刺激素(FSH)]、性功能[女性性功能指数量表(FSFI)]的变化。结果 电凝组手术时间与止血带组相比较短,差异有统计学意义,术后排气时间、住院时间、术中出血量两组比较差异均无统计学意义。与术前相比,电凝组患者术后3个月时E2水平降低,FSH水平升高,差异有统计学意义;止血带组术后3个月时E2、FSH水平均较术前差异无统计学意义,电凝组E2水平低于同一时间止血带组,FSH水平高于同一时间止血带组,差异有统计学意义。术后3个月时,两组患者FSFI各项评分与术前相比均有提高,差异有统计学意义,但电凝组FSFI各项评分与同一时期止血带组相比差异均无统计学意义。结论 采取LM应用电凝UAB和止血带UAB治疗子宫肌瘤均可获得良好疗效,但电凝UAB可缩短手术时间,而止血带UAB对性激素水平影响更小,临床需根据患者实际情况选择应用。Objective To discuss the application effects of different uterine artery block methods(UAB)in laparoscopic myomectomy(LM).Methods Sixty patients with uterine fibroids who underwent LM treatment in our hospital were selected as the research subjects.According to the random number table method, the patients were randomly divided into electrocoagulation group and tourniquet group, with 30 cases in each group.Both groups were treated with uterine artery block combined with LM treatment, and electrocoagulation group was blocked by laparoscopic bipolar uterine artery electrocoagulation, and tourniquet group was blocked by tourniquet.The differences in surgical time, postoperative exhaust time, hospital stay and intraoperative blood loss were compared between the two groups.The sex hormones[estradiol(E2),follicle stimulating hormone(FSH)]and sexual function[Female Sexual Function Index(FSFI)]were compared between the two groups before surgery and at 3 months after surgery.Results The surgical time of electrocoagulation group was shorter than that of tourniquet group, with statistical significance.There were no statistically significant differences in the postoperative exhaust time, hospital stay and intraoperative blood loss between the two groups.Compared with before surgery, the E2level of patients in electrocoagulation group was reduced while the FSH level was increased at 3 months after surgery, with statistical differences.There were no statistically significant differences in the levels of E2and FSH at 3 months after surgery in tourniquet group compared with those before surgery, and the E2level of electrocoagulation group was lower than that of tourniquet group at the same time point while the FSH level was higher than that of tourniquet group at the same time point.At 3 months after surgery, the scores of items of FSFI in the two groups of patients were improved compared with those before surgery, but there were no statistically significant differences in the scores of items of FSFI in electrocoagulation group c

关 键 词：子宫肌瘤 腹腔镜 子宫动脉阻断法 子宫肌瘤剔除术 

分 类 号：R737.33[医药卫生—肿瘤]