垂体后叶素在腹腔镜下困难子宫切除中的应用价值

The Value of Pituitrin Injecting Uterine in Difficult Laparoscopic Hyst erectomy

目的:探讨垂体后叶素在腹腔镜下困难子宫切除术中的应用价值。方法:51例需行子宫切除同时伴有盆腔粘连的患者作为研究对象,随机分为2组,治疗组26例,术中宫体注射5U垂体后叶素加0.9%氯化钠液10ml,对照组25例,术中宫体注射0.9%氯化钠液10ml。记录术中出血量、手术时间,统计中转开腹的例数。结果:治疗组与对照组的术中平均出血量、平均手术时间的比较,差异均有显著性,对照组中转开腹2例,两组术后均无盆腔感染。结论:腹腔镜下困难子宫切除术中宫体注射垂体后叶素可减少术中出血量,缩短手术时间,减少中转开腹率,值得推广应用。

Objective:The purpose of this study is to evaluate the value of pituitrin in difficult laparoscopic hysterectomy. Methods: Fifty-one patients undergoing laparoscopic hysterectomy with pelvic adherence basing on medical his tory and physical examination were randomized and received either pituitrin 5 un its ( treatment group, 26 cases)/10ml of normal saline or 10ml of normal saline (control group, 25 cases) injected into uterine fundus, noting the operative tim e and the total blood loss of hysterectomy. Results: The mean total blood loss a nd the mean time in the pituitrin group and normal saline groups were 555.21±22 3.32 ml and 848.54±305.23 ml, 82.36±25.85 min and 105.67±28.48 min, respectiv ely. There are two cases transferred to trans-abdominal hysterectomy in the norm al saline group. There was no pelvic infection in two groups. Conclu sions: It's value to generalization that pituitrin injecting uterine in difficult laparoscopic hysterectomy can decrease blood loss and shorten mean operative time while the rate of transferred to trans-abdominal hysterectomy red uce also.