摘要
目的：评估子宫动脉上行支结扎用于腹腔镜子宫肌瘤切除术的效果。方法：为74例患有症状性子宫肌瘤要求保留生育功能的患者行腹腔镜子宫肌瘤切除术。30例先结扎子宫动脉再切除肌瘤（结扎组）；44例直接行肌瘤切除术（对照组）。结果：结扎组术中平均出血（152±90）ml，输血率3．3％，明显低于对照组（P〈0．01）；平均手术时间[（95±15）min]及术后发热率（16．7％）与对照组差异无统计学意义（P〉0．05）。随访2～24个月，结扎组症状改善率93．3％，复发率10．0％，与对照组相比差异有统计学意义（P〈0．05）。结论 腹腔镜子宫动脉结扎用于肌瘤切除术安全、可行，可有效减少术中出血，降低复发率。
Objective ：To evaluate the efficacy of uterine artery ascending branch ligation in laparoscopie myomectomy. Methods ：The clinical data of 74 women with symptomatic hysteromyoma who desired to preserve fertility and received laparoscopic myomectomy from Mar. 2004 to Feb. 2007 were analyzed retrospectively ,30 of them underwent laparoscopic uterine artery ligation and myomectomy （ligation group） and 44 only received laparoscopic myomectomy （control group）. Results：The blood loss and blood transfusion rate were （ 152 ± 90） ml and 3.3 % in ligation group, the difference between the two groups was statistically significant （ P 〈 0.01 ）. The average operating time was （95 ± 15 ）min, febrile morbidity was 16.7% in ligation group,which was not significantly different from control group（ P 〉 0. 05）. The patients were followed for 2 to 24 months,in the ligation group,the myoma recurrence rate was 10.0% and 93.3% of the patients symptoms improved;in the control group, these figures were 22.7% and 79.5%, respectively, the differences were statistically significant（ P 〈 0. 05）. Conclusions ： Laparoscopic uterine arteries ligation in myomectomy appears to be a safe and effective method for treating hysteromyoma, which can effectively reduce intraoperative blood loss and recurrence rate.
出处
《腹腔镜外科杂志》
2010年第3期189-190,共2页
Journal of Laparoscopic Surgery
