子宫动脉结扎术及垂体后叶素在腹腔镜子宫纤维肌瘤剔除术中的应用观察

Appilcation Observation of Uterine Artery Ligation and Pituitrin to Laparoscopic Fibromyoma Uteri Myomectomy

目的为分析以及发展子宫纤维肌瘤剔除术,本文对子宫动脉结扎术及垂体后叶素在腹腔镜子宫纤维肌瘤剔除术中的应用作回顾性分析与对比。方法选取2014年4月~2015年10月在河南省直第三人民医院进行子宫纤维肌瘤剔除术的患者76例作为本次研究对象,将其随机分成两组,各38例患者,分别进行子宫动脉结扎术和垂体后叶素注射,然后行子宫纤维肌瘤剔除术,比较分析两组患者手术时间、出血量、并发症以及手术后的复发率。结果子宫动脉结扎术患者的手术时间高于进行垂体后叶素注射的患者,两种方法对止血都有效果,但是采用垂体后叶素子宫肌肉注射的患者复发率高。结论腹腔镜下子宫纤维肌瘤剔除术是治疗子宫纤维肌瘤简便、有效的方法。

Objective In order to better analyze and develop fibromyoma uteri elimination operation,the paper will make retrospective analysis and contrast to the appilcation of uterine artery ligation and pituitrin to laparoscopic fibromyoma uteri elimination operation. Methods The paper selected 76 patients under fibromyoma uteri elimination operation in the Third Provincial Hospital of Henan from April 2014 to October 2015,who were randomly classified into two groups with 38 subjects respectively. One group patients used uterine artery ligation,the other used pituitrin injection,who were both under fibromyoma uteri elimination operation afterwards. Then,the time of oepration,the amount of bleeding,complication and postoperative recurrence rate of the two gruops were contrasted. Results Patients under uterine artery ligation had obviously longer operation time than those under pituitrin injection. Both the methods were effective in hemostasis. However, patients under pituitrin injection had higher recurrence rate. Conclusion Laparoscopic fibromyoma uteri elimination operation is the most convenient and effective way to treat fibromyoma uteri.