腹腔镜下子宫肌瘤剔除术应用子宫动脉预处理的临床价值

Clinical value of laparoscopic myomectomy combined with uterine artery pre-proccess for uterine fibroids

目的探讨采用子宫动脉预处理技术对腹腔镜下子宫肌瘤剔除术的临床疗效及预后价值。方法回顾性分析165例接受腹腔镜下子宫肌瘤剔除术治疗的患者,根据治疗方案不同分为试验组86例,采用子宫动脉阻断术联合子宫肌瘤剔除术;对照组79例,单纯采用子宫肌瘤剔除术。比较两组患者临床指标以及术后并发症发生率的差异。随访1年,比较两组患者的月经异常症状缓解率、肌瘤复发、闭经的预后结局差异。结果与对照组比较,试验组患者的出血量、子宫缩复率和术后病率显著降低,差异有统计学意义(P<0.05),手术时间和住院时间差异无统计学意义(P>0.05),术后并发症差异无统计学意义(P>0.05)。试验组患者的各预后结局发生率均显著降低,差异有统计学意义(P<0.05)。结论采用子宫动脉预处理技术能提高腹腔镜下子宫肌瘤剔除术的临床疗效并改善预后。

Objective To analyze the clinical and prognostic value of laparoscopic myomectomy （LM） combined with uterine artery pre-proccess for uterine fibroids. Methods A total of 165 patients with uterine fibroids by LM were collected for retrospective study, and were randomly divided into two groups, re- search group （86 cases, received LM combined with uterine artery pre-proccess） and control group （79 ca- ses, received LM）. The indexes of clinical efficiency and complications, and the indexes of abnormal men- struation remission rate,uterine fibroids recurrence rate and amenorrhoea rate after one-year follow-up were compared between two groups. Results Compared to control group, the indexes of operation bleeding a- mount,uterine contraction rate and post-operative morbidity in research group were lower （ P 〈 0. 05 ） and the indexes of operation time and length of admission were not statisticaly different （ P 〉 0. 05 ）. The recur- rence rates of post-operative complications were not different （ P 〉 0.05 ）. And the recurrence rates of prog- nosis outcomes in research group were lower than those of the control group （ P 〈 0. 05）. Conclusions The clinical and prognostic value of LM combined with uterine artery pre-proccess for uterine fibroids can im- prove clinical effect and prognosis.