Effect of laparoscopic uterine artery occlusion combined with myomectomy on treatment of patients with uterine fibroids
10.7619/jcmp.201415028
- VernacularTitle:腹腔镜下子宫动脉阻断术联合肌瘤切除术治疗子宫肌瘤的疗效观察
- Author:
Shuiyun LI
1
;
Yongmei ZENG
;
Ping WU
Author Information
1. 四川省简阳市中医医院 妇产科
- Keywords:
laparoscopic;
uterine artery occlusion;
myomectomy
- From:
Journal of Clinical Medicine in Practice
2014;(15):88-91
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical effect of laparoscopic uterine artery occlusion combined with myomectomy on treatment of patients with uterine fibroids.Methods 112 patients with uterine fibroids were randomly divided into the observation group (n=56)and the control group (n=56),the observation group was treated with laparoscopic uterine artery occlusion com-bined with myomectomy,while the control group was treated with laparoscopic myomectomy only. Clinical effect was contrasted between the two groups.Results In the observation group,operative time and hospital stay were significantly shorter than the control group(P <0.01),blood loss was less than the control group(P <0.01),and the exhaust time was significantly earlier than the con-trol group(P <0.05).In the observation group,remission rate of menorrhagia was 96.4%,which was significantly higher than 80.4% in the control group(P <0.01).Uterine fibroid recurrence rate was 1.8%,which was significantly lower than 16.1% in the control group(P <0.01),but degree of uterine volume reduction was significantly higher than the control group(P <0.01). There was no significant difference of incidence of postoperative complications between the two groups.Conclusion Laparoscopic uterine artery occlusion combined with myomectomy can effec-tively reduce intraoperative loss of blood,improve therapeutic efficacy and reduce incidence rate of complications and recurrence rate.
