Application of laparoscopic ultrasonography assistance in minimally invasive surgery for patients with uterine fibroids
10.3969/j.issn.1007-1989.2017.11.010
- VernacularTitle:腹腔镜超声辅助在子宫肌瘤患者微创手术中的应用研究
- Author:
Xue WEN-DAN
1
;
Xing KONG-LI
;
Li XIAO-QING
Author Information
1. 海南省海口市妇幼保健院 超声科
- Keywords:
uterine fibroids;
ultrasound;
laparoscopy;
minimally invasive surgery
- From:
China Journal of Endoscopy
2017;23(11):46-50
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of laparoscopic ultrasonography assistance in minimally invasive surgery for uterine leiomyoma patients and provide scientific basis for reducing the recurrence rate of uterine leiomyoma. Methods 156 cases of uterine leiomyoma from January 2011 to June 2014 were divided into control group and observation group according to the digital table method, 78 cases in each. The control group were treated with conventional laparoscopic surgery, while the observation group with laparoscopic ultrasonography assistance, then compare the postoperative residue, recurrence in 12 months at different time points and the number of fibroids diameter, analyze the relationship between number of uterine muscle tumor and residual recurrence. Results There were no significant differences in operation time, blood loss, length of hospital stay and anal exhaust time between the two groups. The proportion of patients in the observation group and the recurrence rate within 12 months were significantly lower than those in the control group, the number of uterine leiomyomas in the observation group was significantly lower than that in the control group at 3 months, 6 months, 9 months and 12 months after operation. The patients in the two groups were followed up for 3 months and 6 months the maximum diameter of uterine leiomyoma was not statistically significant, the observation group 9 months and 12 months after the maximum diameter of uterine fibroids was significantly lower than the control group, and the difference was statistically significant; with the patient's uterine muscle the number of residual tumor and the recurrence rate were significantly increased. When the number of uterine leiomyomas was 10 or more, the residual rate was 100.0％ and the recurrence rate was 80.0％. Conclusion Laparoscopic ultrasonography assistance in minimally invasive surgery for patients with uterine fibroids can effectively reduce the postoperative residual rate and recurrence rate, worthy of clinical promotion.
