腹腔镜下子宫动脉阻断与子宫腺肌瘤剥除术的临床效果

Clinical effect of laparoscopic uterine artery occlusion and adenomyoma exfoliation in the treatment of uterine fibroids

目的:观察采用子宫动脉阻断与腺肌瘤剥除术联合手术的方法对子宫肌瘤患者的治疗效果。方法:选取2014年1月1日至2015年12月2日治疗的120例子宫肌瘤患者,随机分成两组,每组各60例,观察组患者进行腹腔镜下子宫动脉阻断与子宫腺肌瘤剥除术,对照组患者单纯进行子宫腺肌瘤剥除术治疗,对两组患者的治疗疗效包括手术操作时间、住院天数、术中出血量、术中并发症及复发情况进行记录,然后对患者的两组数据进行比较。结果:与对照组相比,观察组患者的手术操作时间、术中出血量、住院天数及并发症发生率降低(P<0.05),观察组患者的月经缓解率呈下降趋势(P<0.05)。结论:在治疗子宫肌瘤时,采用腹腔镜下子宫动脉阻断与子宫腺肌瘤剥除术联合应用改善临床疗效较好,可缩短治疗时间,减少出血量,降低并发症,在临床治疗中值得应用。

Objective:To analyze the clinical effect of uterine artery occlusion combined with adenomyoma exfoliation in patients with uterine leiomyoma.Methods:120 cases of uterine fibroids treated in our hospital from January 1,2015 to December 2,2015 were selected and randomly divided into two groups,60 cases in each group.The treatment group was treated with laparoscopic uterine artery occlusion and adenomyoma exfoliation,and the control group received adenomyoma exfoliation.The efficacy,including operation time,length of hospital stay,intraoperative blood loss,intraoperative complications and recurrence of the record,was recorded in the two groups.The data in the two groups were compared.Results:Compared with the control group,the operation time,amount of bleeding,number of hospitalizations and incidence of complication were significantly reduced in the treatment group(P<0.05).The remission rate of menstruation decreased significantly(P<0.05).Conclusion:In the treatment of uterine fibroids,the use of laparoscopic uterine artery occlusion combined with adenomyoma exfoliation improves clinical efficacy,which can shorten the treatment time and reduce the amount of bleeding and complications.It is worthy of popularization and application.