Application value of laparoscopic uterine artery occlusion combined with uterine myomectomy for uterine myomas
10.11659/jjssx.07E015101
- VernacularTitle:腹腔镜下子宫动脉阻断后子宫肌瘤剔除术的临床应用价值
- Author:
Jing CHEN
- Publication Type:Journal Article
- Keywords:
myomectomy;
laparoscopy;
uterine artery occlusion
- From:
Journal of Regional Anatomy and Operative Surgery
2016;(1):35-37
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the application value of laparoscopic uterine artery occlusion and uterine myomectomy for uterine myo-mas. Methods The data of 80 patients with uterine myomas in our hospital from January 2011 to January 2015 were studied. They were ran-domly divided into control group and observation group,40 cases in each group. The patients in control group received the laparoscopic myo-mectomy and the patients in observation group were treated by uterine artery occlusion and myomectomy. The hospitalization time,blood loss, disease incidence and recurrence between two groups were compared and analyzed. Results There was no statistically significance in aver-age operative time between two groups(P>0. 05). The exhaust time and hospital stay time in observation group were significantly shorter than those in the control group,the difference were statistically significant(P<0. 05). The blood loss in the control group(145. 2 ± 35. 5) mL was significantly higher than that of observation group(50. 8 ± 21. 6) mL,the difference were statistically significant(χ2 =14. 367 5,P=0. 000 0). The improved rate of postoperative menorrhagia in observation group was 100%, the control group was 25%,the differences were statistically significant(χ2 =4. 599 6,P=0. 032 0). There was no postoperative morbidity and recurrence in observation group. The postoperative morbidi-ty and recurrence rate in the control group were 5 cases (12. 50%) and 11 cases (27. 50%) respectively,the differences between two groups were statistically significant(P<0. 05). Conclusion Laparoscopic uterine artery occlusion combined with uterine myomectomy can reduce blood loss,shorten hospital stay time,reduce postoperative complication and recurrence of uterine myomas.
