摘要
目的比较腹腔镜下子宫肌瘤剔除术和子宫动脉栓塞术治疗子宫肌瘤的疗效。方法回顾性分析自2014年1月至2016年6月沈阳市第六人民医院收治的88例子宫肌瘤患者的临床资料,按照术式不同,分为腹腔镜下子宫肌瘤剔除术组(A组,n=42)和子宫动脉栓塞术组(B组,n=46)。比较两组患者围术期不良反应以及随访3、6、12个月的临床症状改善情况、子宫和肌瘤体积变化情况、生存质量情况。结果所有患者围术期均未发生明显不良反应。随访期间,B组月经量增多、痛经症状改善情况明显好于A组,差异有统计学意义(P<0.05),但两组经期延长、贫血、尿路和直肠压迫、盆腔疼痛症状改善情况比较,差异无统计学意义(P>0.05);A组子宫和肌瘤体积缩小比例明显高于B组,差异有统计学意义(P<0.05);B组生存质量改善情况明显好于A组,差异有统计学意义(P<0.05)。结论腹腔镜下子宫肌瘤剔除术和子宫动脉栓塞术治疗子宫肌瘤疗效均良好。
Objective To investigate the clinical efficacy of laparoseopic myomectomy and uterine artery emholization in the treatment of uterine myoma. Methods A retrospective study was performed on 88 cases of patients with uterine myoma who were admitted from January 2014 to June 2016. According to different surgical methods, patients were divided into the laparoscopic myomectomy group （ Group A, n = 42 ） and the uterine artery embofization group （ Group B, n = 46 ）. The perioperative adverse reactions, the improvement of clinical symptoms, changes in uterine and fibroid volume, and the life quality of patients during the follow-up period of 3,6 and 12 months were compared between the two groups. Results There were no obvious complications during perioperative period. During the follow-up period, the menstrual volume increased and the dysmenorrhea symptoms improved significantly in Group B which were better than those in Group A （P 〈 0. 05 ）. There was no statistically significant difference between the two groups of menstrual extension, ane- mia, urinary tract and rectal compression and pelvic pain symptoms （P 〉 0. 05 ）. The reduction ratio of uterine and fibroids in Group A was significantly higher than those in Group B （ P 〈 0. 05 ）. The improvement of survival quality in Group B was significantly better than that in Group A, and the difference was statistically significant （ P 〈 0. 05 ）. Conclusion Both laparoscopic myomectomy and uterine artery embolization for uterine fibroids have good therapeutic effect.
作者
吴双
宋晶晶
黄凌云
WU Shuang, SONG Jing-jing, HUANG Ling-yun(Department of Obstetrics and Gynecology,The Sixth People＇s Hospital of Shenyang, Shenyang 110006, Chin)
出处
《临床军医杂志》
CAS
2018年第3期282-284,共3页
Clinical Journal of Medical Officers
基金
辽宁省教育厅高等学校优秀人才支持计划(20111107)
