经腹子宫动脉阻断后肌瘤剔除术的临床研究

The Clinical Study of the Abdominal Myomectomy by Uterine Artery Blockage

目的：评价经腹子宫动脉阻断后肌瘤剔除术的临床效果，探求一种术后症状明显改善及复发率低的手术方法。方法：以有手术指征、要求保留子宫的患者为对象，随机分成两组：一组采用传统子宫肌瘤剔除术，另一组采用经腹子宫动脉阻断后肌瘤剔除术。两组随访12～18个月，观察术后效果。结果：与传统术式相比，经腹子宫动脉阻断后肌瘤剔除术术中出血少、术后症状改善明显、复发率低。结论：在没有腹腔镜设备的医院，经腹子宫动脉阻断后肌瘤剔除术是一种有效的治疗子宫肌瘤的术式。

Objective ： To evaluate the clinical effect of the abdominal myomectomy by blocking of the uterine arteries and explore a method which showed symptomatic improvement and low relapse rate for treatment of uterine leiomyoma. Methods ： 66 women with myomas which required surgical treatment and uterus retaining Were divided into two groups randomly： one group was treated with the traditional abdominal myomectomy, the other one treated with abdominal myomectomy by blocking of the uterine arteries. All patients were followed up for 12 to 18 months. Results： Compared with traditional abdominal myomectomy group, the later group treated with abdominal myomectomy by blocking of the uterine arteries which showed less hemorrhage, symptomatic improvement and low relapse rate. Conclusion： The abdominal myomectomy by uterine artery blockage appears to be a effective method for treating uterine leiomyoma, and promising in the grass - roots hospitals without the equipment of laparoscope.