子宫肌瘤予以腔镜下子宫动脉阻断联合肌瘤剔除术综合治疗的作用

The Effect of Combined Treatment of Uterine Fibroids with Endoscopic Uterine Artery Occlusion Combined with Myomectomy

目的分析子宫肌瘤予以腔镜下子宫动脉阻断联合肌瘤剔除术综合治疗的作用。方法选取符合纳入标准的68例子宫肌瘤患者进行研究,患者在2017年5月—2020年1月期间纳入组,按照抛硬币结果进行分组,对照组应用腹腔镜手术治疗,观察组则应用腔镜下子宫动脉阻断联合肌瘤剔除术综合治疗,对比两组手术指标、并发症以及复发情况。结果观察组手术时间是(64.36±4.28)min,高于对照组,差异有统计学意义(t=9.495,P<0.05);观察组术后排气恢复时间(13.24±3.55)h,住院时间(7.24±1.87)d,与对照组相比差异无统计学意义(t=0.423、0.282,P>0.05);观察组手术出血量(70.16±12.17)mL,低于对照组,差异有统计学意义(t=7.795,P<0.05);观察组术后并发症发生率5.88%(2例)低于对照组的23.53%(8例),差异有统计学意义(χ^(2)=4.221,P<0.05);观察组半年内复发率为2.94%(1例),对照组为17.65%(6例)差异有统计学意义(χ^(2)=3.981,P<0.05)。结论子宫肌瘤予以腔镜下子宫动脉阻断联合肌瘤剔除术综合治疗可显著降低术中出血量,虽手术操作时间较长,但是损伤不大,术后恢复快,并发症和复发率更少,减少了患者的痛苦,值得使用。

Objective To analyze the effect of combined treatment of uterine fibroids by laparoscopic uterine artery occlusion combined with myomectomy.Methods 68 patients with uterine fibroids who met the inclusion criteria were selected for the study.The patients were included in the group from May 2017 to January 2020.They were grouped according to the coin flip results.The control group was treated with laparoscopic surgery,and the observation group was treated combined treatment of uterine artery occlusion combined with myomectomy under laparoscopy,the surgical indicators,complications and recurrence of the two groups were compared.Results The operation time of the observation group was(64.36±4.28)min,which was higher than that of the control group,and the difference was statistically significant(t=9.495,P<0.05);the postoperative exhaust recovery time of the observation group was(13.24±3.55)h,and the hospitalization time(7.24±1.87)d,compared with the control group,the difference was not statistically significant(t=0.423,0.282,P>0.05);the surgical blood loss of the observation group was(70.16±12.17)mL,which was lower than the control group,the difference was statistically significant(t=7.795,P<0.05);the postoperative complication rate of 5.88%(2 cases)in the observation group was lower than 23.53%(8 cases)in the control group,the difference was statistically significant(χ^(2)=4.221,P<0.05)The recurrence rate in the observation group within six months was 2.94%(1 case),and the control group was 17.65%(6 cases),the difference was statistically significant(χ^(2)=3.981,P<0.05).Conclusion The combined treatment of uterine fibroids with endoscopic uterine artery occlusion combined with myomectomy can significantly reduce the amount of intraoperative blood loss.Although the operation time is longer,the damage is not large,the postoperative recovery is faster,and the complications and recurrence rate are less,reduces the suffering of patients,and is worth using.