腹腔镜下子宫肌瘤剔除联合双侧子宫动脉阻断术效果分析

Curative Effect Analysis on Laparoscopic Myomectomy Combined with Bilateral Uterine Artery Occlusion

目的探讨腹腔镜下子宫肌瘤剔除联合双侧子宫动脉阻断术的治疗效果。方法选取2011年6月至2012年4月在三门峡市中心医院就诊130例子宫肌瘤患者,按照随机数字表法随机分为观察组(60例)组和对照组(70例)。观察组行腹腔镜下子宫肌瘤剔除联合双侧子宫动脉阻断术,对照组行腹腔镜下子宫肌瘤剔除术;比较两组的手术时间、术中出血量、术后排气时间、住院时间、术后复发率;随访复发率。结果观察组术中出血量、住院时间、术后肌瘤复发率均显著小于对照组[(66±21)m L比(160±37)m L、(4.9±0.9)d比(6.3±1.2)d、5.0%(3/60)比15.7%(11/70),P<0.05或P<0.01];两组的手术时间、肛门排气时间与对照组比较差异无统计学意义(P>0.05)。结论腹腔镜下子宫肌瘤剔除联合双侧子宫动脉阻断术,可减轻手术损伤,降低肌瘤复发率。

Objective To explore the curative effect of laparoscopic myomectomy combined with bilateral uterine artery occlusion. Methods A total of 130 cases of hysteromyoma were chosen in Sanmenxia City Central Hospital from Jun. 2011 to Apr. 2012,and these cases were randomly divided into observation group（ n = 60） and control group（ n = 70） through random number table method. The observation group was given laparoscopic myomectomy combined with bilateral uterine artery occlusion,and the control group was given laparoscopic myomectomy. The indexes such as operation time,volume of hemorrhage,postoperative exhaust time,length of hospital stay and recurrence rate of hysteromyoma were compared between the two groups.Results The volume of hemorrhage in the operation,length of stay and postoperative recurrence rate in the observation group were significantly less than the control group respectively [（ 66 ± 21） m L vs（ 160 ±37） m L,（ 4. 9 ± 0. 9） d vs（ 6. 3 ± 1. 2） d,5. 0%（ 3 /60） vs 15. 7%（ 11 /70）,P 0. 05 or P 0. 01 ];but operation time and postoperative exhaust time in the observation group were not statistically different from the control group（ P 0. 05）. Conclusion Laparoscopic myomectomy combined with bilateral uterine artery occlusion can lighten injury in the operation,and reduce the relapse rate ofhysteromyoma.