Application valuation of uterine artery ligation in laparoscopic myomectomy
10.3760/cma.j.issn.1673-4904.2014.09.008
- VernacularTitle:子宫动脉结扎术在腹腔镜下子宫肌瘤挖除术中的应用价值
- Author:
Haiying WANG
- Publication Type:Journal Article
- Keywords:
Leiomyoma;
Laparoscopes;
Uterine artery ligation;
Myomectomy
- From:
Chinese Journal of Postgraduates of Medicine
2014;37(9):22-24
- CountryChina
- Language:Chinese
-
Abstract:
Objeetive To analyze the application valuation of uterine artery ligation in laparoscopic myomectomy.Methods Seventy-five hysteromyoma patients who underwent laparoscopic myomectomy were collected.The patients were divided into 2 groups by random digits table method,33 cases underwent uterine artery ligation before laparoscopic myomectomy (experiment group),and 42 cases only received laparoscopic myomectomy (control group).The prognosis and postoperative recurrence rate were compared between the 2 groups.Results The duration of operation,amount of bleeding,length of stay,laparotomy rate,postoperative residual cavity hematoma formation rate,improving rate and recurrence rate in experiment group were better than those in control group [(42.46 ±37.22) min vs.(73.23 ±48.82) min,(143.12 ±81.46) ml vs.(214.70 ± 149.19) ml,(5.17 ± 1.08) d vs.(9.21 ± 1.20) d,12.1％(4/33) vs.28.6％(12/42),18.2％(6/33) vs.31.0％ (13/42),93.9％ (31/33) vs.81.0％ (34/42),12.1％ (4/33) vs.23.8％ (10/42)],there were statistical differences (P ＜ 0.05).Conclusions Uterine artery ligation in laparoscopic myomectomy is safe and effective.It can decrease the duration of operation,amount of bleeding,length of stay,laparotomy rate and postoperative residual cavity hematoma formation rate.
