摘要
目的:探讨减少腹腔镜辅助阴式较大子宫肌瘤切除术出血的措施。方法:腹腔镜辅助阴式较大子宫肌瘤切除术的患者438例,研究组247例,术前先经直肠置入卡前列甲酯栓1mg,术中切除肌瘤前先用止血带套扎宫颈部位,再行肌瘤切除术;对照组191例,入院完善检查和术前准备后直接行腹腔镜辅助阴式较大子宫肌瘤切除术,与研究组进行回顾性对比研究。结果:研究组术中出血及手术时间明显少于对照组,差异有统计学意义(P均<0.05);术后发热率及出院时间虽然少于对照组,但无统计学意义(P均>0.05)。结论:腹腔镜辅助阴式较大子宫肌瘤切除术前应用卡前列甲酯栓经直肠置入,术中切除肌瘤前应用止血带捆扎宫颈部位,两种方法相结合,可明显减少术中出血,缩短手术时间,效果良好,值得临床推广。
Objective：To investigate the large reduction of laparoscopically assisted vaginal myomectomy bleeding measures.Methods：There were 438 patient of laparoscopic-assisted vaginal myomectomy larger from May 2008 to August 2011.study group 247 cases,surgery prior to the forefront through the rectum into the methyl ester suppository card 1mg,resection surgery fibroids before using a tourniquet tied cervix,re-myomectomy;control group,191 cases,complete admission and preoperative examination directly after laparoscopic-assisted vaginal myomectomy larger,and research groups retrospective comparative study.Results：The study group blood loss and operative time was significantly less than the control group,the difference was statistically significant（P0.05）;postoperative fever rate and discharge times were less than the control group,but not statistically significant（P0.05）.Conclusions：Laparoscopic-assisted vaginal myomectomy before a larger application card into the forefront of methyl rectal suppository,surgical removal of fibroids in the first application with a tourniquet tied cervix,the combination of two methods,surgery can significantly reduce bleeding,shorter operative time,the effect is good,worthy of promotion.
