B超介导下腹腔镜治疗子宫肌瘤38例

B-mediated laparoscopic treatment of uterine leiomyoma

目的探讨在B超介导下腹腔镜切除子宫肌瘤临床价值。方法69例子宫肌瘤患者随机分为B超介导腹腔镜组38例与腹腔镜组31例,介导组于腹腔镜术后将存留的子宫肌瘤继续在腹腔镜下剔除。结果经超声介导的腹腔镜子宫肌瘤剔除术中,B超发现7枚残留肌瘤核,1年后有1例残留或复发,对照组1年后5例残留或复发,残留或复发率差异有显著性(P<0.05)。结论B超介导下腹腔镜子宫肌瘤剔除术,可以最大限度避免肌瘤核的存留,大大降低术后子宫肌瘤的复发率。

Objective To investigate the clinical value of B-mediated uterine fibroid under laparoscope.Methods 69 cases of uterine fibroids were randomly grouped into B-mediated laparoscopic group（38 cases）and laparoscopic group（31 cases）.The mediated group will be retained after laparoscopic uterine fibroid.Results In ultrasound-mediated laparoscopic myomectomy seven residues myoma nucleus were found.One year later there was one case of residual or recurrence.The control group one year later had five cases of residual or recurrence（P〈0.05）.The residual or relapse rates were significantly different.Conclusion Under ultra laparoscopic myomectomy B-mediated,fibroid retention can be avoided.Postoperative recurrence rate of uterine leiomyoma can be greatly reduced.