目的：分析腹腔镜下双侧子宫动脉阻断对子宫肌瘤剥除围手术期的影响。方法：选取2013年3月至2015年3月收治的子宫肌瘤患者共70例。随机将患者分为观察组和对照组，其中观察组患者采用腹腔镜下双侧子宫动脉阻断术实施子宫肌瘤剥除；对照组则采用常规的腹腔镜手术进行子宫肌瘤剥除。结果：观察组术中的出血量显著少于对照组患者，两组数据对比有显著性差异，但手术时间，术中并发症和住院天数等对比则没有显著性差异。观察组患者的并发症率为2.86%，对照组患者的并发症率为8.57%，两组数据对比有显著性差异（P＜0.05），其中观察组切口化脓为0.0%，明显低于对照组的8.57%。结论：腹腔镜下双侧子宫动脉阻断对子宫肌瘤剥除能够保证手术治疗效果，同时减少术后并发症发生以及减少手术对于患者的损耗。%Objective: To analyze the perioperative influence of laparoscopic bilateral uterine artery occlusion on hysteromyoma decolement surgery. Methods: 70 cases ofhysteromyoma patients were selected. The patients were randomly divided into two groups, the observation group were treated with laparoscopic uterine artery occlusion surgery fordecolement; the control group using conventional laparoscopic surgery for decolement.Results: The intraoperative bleeding of observation group was significantly less than control group, with a significant difference; but on the operative time, intraoperative complications and hospitalization days there were no significant difference. The incidence of complications of observation group was 2.86%, that of control group was 8.57%, with a significant difference, among which the incidence of incision fester (0.0%) was significantly lower than control group (8.57%). Conclusion: Laparoscopic bilateral uterine artery occlusion canensure surgical treatment effect for hysteromyoma decolement, and reduce the incidence of postoperative complications and wastage of patients.
展开▼
