腹腔镜子宫动脉上行支阻断联合肌瘤剔除术治疗子宫肌瘤患者的效果研究

Effect of Laparoscopic Uterine ArBranch Block Combined with Myomectomy in Patients with Myomoma

目的探究子宫肌瘤患者联合应用腹腔镜子宫动脉上行支阻断及肌瘤剔除术的治疗效果。方法纳入2019年8月至2020年10月我院收治的70例子宫肌瘤患者,按随机数字表法分为两组,各35例。对照组实施腹腔镜肌瘤剔除术,观察组给予腹腔镜子宫动脉上行支阻断术治疗。比较两组围术期基本情况、激素水平及预后相关指标发生率。结果观察组手术、胃肠功能恢复、术后首次月经来潮时间较对照组短,术中出血量较对照组少,有统计学差异(P<0.05);术后3个月,观察组黄体生成素(LH)、雌二醇(E2)水平与对照组相比,无统计学差异(P>0.05);观察组卵泡刺激素(FSH)水平高于对照组,与对照组相比,观察组肌瘤残留及复发率均较低,有统计学差异(P<0.05)。结论腹腔镜子宫动脉上行支阻断联合肌瘤剔除术治疗子宫肌瘤患者能够缩短手术时间、促进胃肠功能恢复、加快首次月经来潮时间,且对卵巢功能影响小,可减少术后复发。

Objective To investigate the effect of laparoscopic myomectomy.The 70 cases of uterine fibroids from August 2019 to October 2020 were 35 patients.The control group performed laparoscopic myomectomy,and the observation group gave laparoscopic uterine artery upside branch block treatment.Basic conditions,hormone levels,and prognosis-related indexes were compared between the two groups.Results The surgical time,gastrointestinal recovery time,the first menstrual period were shorter than the control group,less bleeding in the controls(P<0.05),LH and E2 compared with the controls(P>0.05),FSH levels in the control group and 6 months and fibroids recurrence(P<0.05).Conclusion Laparoscopic uterine artery upbranch block and myomectomy have the advantages of short surgical time,fast gastrointestinal function recovery and early first menstrual onset time,with little effect on ovarian function and can reduce postoperative recurrence.