腹腔镜下阻断子宫血流联合子宫肌瘤剔除术治疗子宫肌瘤76例临床效果的探讨.docVIP

腹腔镜下阻断子宫血流联合子宫肌瘤剔除术治疗子宫肌瘤76例临床效果的探讨 　　[摘要] 目的 探?腹腔镜下阻断子宫血流联合子宫肌瘤剔除术治疗子宫肌瘤的临床效果。方法 方便选取2015年1月―2016年12月期间该院收治的子宫肌瘤患者76例作为研究对象，采取抽签的方式分为实验组和对照组，每组38例患者，对照组患者采取腹腔镜单纯肌瘤剔除术进行治疗，实验组患者采取腹腔镜下阻断子宫血流联合子宫肌瘤剔除术进行治疗，观察并对比两组患者的手术时间、出血量、住院时间、排气时间、子宫恢复正常以及复发率等。 结果 实验组患者的出血量（52.8±3.4）mL和住院时间（4.5±1.2）d明显小于对照组患者的出血量（81.2±5.3）mL和住院时间（6.8±3.1）d，差异有统计学意义（P0.05）；实验组患者子宫恢复正常率94.7%明显高于对照组患者的81.6%，复发率2.6%明显低于对照组患者的13.2%，差异有统计学意义（P0.05）。 结论 腹腔镜下阻断子宫血流联合子宫肌瘤剔除术治疗子宫肌瘤的临床效果显著，具有一定的临床价值。 　　[关键词] 腹腔镜下子宫肌瘤剔除术；阻断子宫血流；子宫肌瘤；临床效果 　　[中图分类号] R71 [文献标识码] A [文章编号] 1674-0742（2017）04（a）-0077-03 　　Study on Clinical Effect of Laparoscopic Uterine Blood Flow Resection and Uterus Myoma Removaling in Treatment of 76 Cases with Fibroids 　　ZOU Xue-mei 　　Maternal and Child Health Family Planning Service Center of Yanjiang District， Ziyang， Sichuan Province， 641300 China 　　[Abstract] Objective To observe the clinical effect of laparoscopic uterine blood flow resection and uterus myoma removaling in treatment of 76 cases with fibroids. Methods 76 cases of fibroids patients admitted and treated in our hospital from January 2015 to December 2016 were conveniently selected and divided into two groups with 38 cases in each， the control group adopted the simple laparoscopic uterus myoma removaling， while the experimental group adopted the laparoscopic uterine blood flow resection and uterus myoma removaling， and the operation time， bleeding amount， length of stay， exhaust time， return to normal time of uterus and recurrence rate of the two groups were observed and compared. Results The bleeding amount and length of stay in the experimental group were obviously less than those in the control group[（52.8±3.4）mL， （4.5±1.2）d vs （81.2±5.3）mL， （6.8±3.1）d]， and the differences were statistically significant（P0.05）， and the return to normal rate was obviously higher than that in the control group（94.7% vs 81.6%）， and the recurrence rate was obviously lower than that in the control group（2.6% vs 13.2%）， and the differences