剖宫产术中肌瘤切除前子宫动脉预处理对患者激素水平的影响研究

Effect of uterine artery preconditioning before myomectomy during cesarean section on hormonal levels in patients

目的探究剖宫产术中肌瘤切除前子宫动脉预处理对患者激素水平的影响。方法选取2018年1月至2019年12月本院收治的50例妊娠合并子宫肌瘤患者为研究对象,采用随机数余数分组法分为观察组与对照组,每组25例。对照组剖宫产术中常规行子宫肌瘤切除术,观察组剖宫产术中子宫肌瘤切除前行子宫动脉预处理。比较两组围手术期指标、激素水平和并发症发生率。结果两组术中出血量比较差异有统计学意义(P<0.05),两组手术时间、排气时间、排便时间、住院时间比较差异无统计学意义;术前,两组激素水平比较差异无统计学意义,术后42 d与术前比较差异有统计学意义(P<0.05),两组术后42 d激素水平比较差异无统计学意义;观察组并发症发生率为12.00%,对照组为8.00%,差异无统计学意义。结论剖宫产术中子宫肌瘤切除前对子宫动脉预处理有利于减少术中出血,且对患者激素水平无明显影响,值得临床推广。

Objective To explore the effect of uterine artery preconditioning before myomectomy during cesarean section on hormonal levels in patients.Methods 50 pregnant patients with uterine fibroids admitted to our hospital from January 2018 and December 2019 were selected as the research subjects,and they were divided into the observation group and the control group by the random remainder grouping method,with 25 cases in each group.The control group was treated with conventional myomectomy during cesarean section,and the observation group were treated with uterine artery preconditioning before myomectomy during cesarean section.Compared the perioperative indicators,hormone levels and incidence of complications between the two groups.Results There was statistically significant difference in intraoperative blood loss between the two groups(P<0.05).There was no significant difference in the operation time,exhaust time,defecation time or hospital stay between the two groups.There was no significant difference in hormone levels between the two groups before surgery,but there was statistically significant differences in hormone levels at 42 days after surgery compared to those before surgery(P<0.05).There was no significant difference in hormone levels between the two groups at 42 days after surgery.The incidence of complications in the observation group was 12.00%,the control group was 8.00%,there was no statistically significant difference between the two groups.Conclusion Uterine artery preconditioning before myomectomy during cesarean section is conducive to the reduction of intraoperative blood loss,without obvious influence on hormone levels,it is worthy of clinical promotion.