腹腔镜下单纯应用垂体后叶素与联合压脉带阻断子宫血流在宫角楔形切除术中的疗效比较  

Comparison of the Efficacy of Laparoscopic Application of Posterior Pituitary Leptin Alone and Combined Pressure Vein Band to Block Uterine Blood Flow in Horn Wedge Resection

作　　者：罗佩宜 张冬平 黄翠萍 LUO Peiyi;ZHANG Dongping;HUANG Cuiping(Department of Obstetrics and Gynecology,Dongguan Qingxi Hospital,Dongguan,Guangdong Province,523660 China)

机构地区：[1]东莞市清溪医院妇产科,广东东莞523660

出　　处：《中外医疗》2023年第25期5-8,共4页China & Foreign Medical Treatment

基　　金：东莞市社会发展科技计划项目(20221800901312)。

摘　　要：目的比较腹腔镜下单纯应用垂体后叶素与联合压脉带阻断子宫血流在宫角楔形切除术中的疗效。方法方便选取2022年8月—2023年7月在东莞市清溪医院住院并行腹腔镜宫角楔形切除手术的20例患者,根据患者接受手术方式的不同而分组。对照组手术止血方式是病灶基底部注射垂体后叶素止血,入选10例;联合组手术止血方式是病灶基底部注射垂体后叶素联合压脉带阻断子宫血流,同样入选10例。观察两组围术期指标与手术安全性(中转开腹率、有无手术并发症等)。结果联合组手术耗时(60.53±4.63)min更短,术中出血量(51.31±6.73)mL与治疗费用(12537.83±264.47)元更少,住院耗时(4.75±0.76)d短于对照组,差异有统计学意义(t=2.360、30.596、9.603、2.828,P<0.05)。联合组患者中转开腹率及手术并发症率均低于对照组,但两组比较,差异无统计学意义(P>0.05)。结论在腹腔镜宫角楔形切除术中,以垂体后叶素联合压脉带阻断子宫血流的止血辅助方式,相对于单纯应用垂体后叶素的止血辅助方式更有优势。Objective To compare the efficacy of laparoscopic application of posterior pituitary hormone alone and combined pressure vein band to block uterine blood flow in horn wedge resection.Methods 20 patients who were hospitalized and underwent laparoscopic uterine horn wedge resection in Dongguan Qingxi Hospital from August 2022 to July 2023 were conveniently selected,and they were grouped according to the different surgical methods they received.In control group,hemostasis was achieved by injection of posterior pituitary hormone at the base of the lesion,and 10 cases were selected;in combined group,the surgical hemostasis method was to block uterine blood flow by injecting posterior pituitary hormone at the base of the lesion in combined with pressure vein banding,and 10 cases were also enrolled.Perioperative indexes and surgical safety(rate of intermediate openings,the presence of surgical complications,etc.)in two groups were observed.Results The combined group had shorter operation time(60.53±4.63)min,less intraoperative bleeding(51.31±6.73)mL and treatment cost(12537.83±264.47)yuan,and hospitalization time(4.75±0.76)d shorter than those in the control group,and the difference was statistically significant(t=2.360,30.596,9.603,2.828,P<0.05).The rate of transfer to open abdomen and the rate of surgical complications of patients in the combined group were lower than those of the control group,but the difference was not statistically significant(P>0.05).Conclusion In laparoscopic uterine horn wedge resection,the hemostatic aid of blocking uterine blood flow with posterior pituitary hormone combined with pressure vein banding is more advantageous than the hemostatic aid of applying posterior pituitary hormone alone.

关 键 词：腹腔镜 垂体后叶素 压脉带 阻断 宫角楔形切除术 

分 类 号：R584[医药卫生—内分泌]