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[1]林 坦 吳 青 劉 越.腹腔鏡下病灶切除聯(lián)合子宮動脈阻斷術(shù)治療子宮腺肌瘤的效果分析[J].福建醫(yī)藥雜志,2019,41(03):12-15.
　LIN Tan,WU Qing,LIU Yue..Evaluation of laparoscopic adenomyoma combined with uterine artery occlusion in the treatment of adenomyoma[J].FUJIAN MEDICAL JOURNAL,2019,41(03):12-15.
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腹腔鏡下病灶切除聯(lián)合子宮動脈阻斷術(shù)治療子宮腺肌瘤的效果分析()
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《福建醫(yī)藥雜志》[ISSN:1002-2600/CN:35-1071/R]

卷:
41
期數(shù):
2019年03期
頁碼:
12-15
欄目:
臨床研究
出版日期:
2019-02-20

文章信息/Info

Title:
Evaluation of laparoscopic adenomyoma combined with uterine artery occlusion in the treatment of adenomyoma
文章編號:
1002-2600(2019)03-0012-04
作者:
林 坦 吳 青1 劉 越
福建省立醫(yī)院婦產(chǎn)科(福州 350001)
Author(s):
LIN Tan;  WU Qing;  LIU Yue.
Department of Gynaecology and Obstertrics, Fujian Provincial Hospital,Fuzhou,Fujian 350001,China
關(guān)鍵詞:
子宮腺肌瘤;  子宮動脈阻斷術(shù);  腹腔鏡;  療效
Keywords:
adenomyoma;  uterine artery occlusion;  laparoscopy;  effect
分類號:
R737.33
文獻標志碼:
B
摘要:
目的 對腹腔鏡下子宮動脈阻斷術(shù)與子宮腺肌瘤病灶切除術(shù)聯(lián)合治療效果進行分析, 并對子宮動脈阻斷術(shù)聯(lián)合應(yīng)用價值進行探討。方法 2014年6月至2016年6月就診于本院婦科的子 宮腺肌病(伴子宮腺肌瘤)患者共42例,隨機分配對照組和觀察組各21例,對照組采用腹腔鏡下子 宮腺肌瘤剔除術(shù),觀察組采用腹腔鏡子宮腺肌瘤剔除聯(lián)合子宮動脈阻斷術(shù)。比較兩組患者的平均 年齡、最大腺肌瘤及子宮最大徑線,比較兩組患者術(shù)中出血量、手術(shù)時間、術(shù)后盆腔感染率,術(shù) 后12、24個月與術(shù)前的月經(jīng)量比、痛經(jīng)程度比、子宮體積比等。結(jié)果 兩組患者的年齡、最大腺 肌瘤徑線、子宮最大徑線比較的差異均無統(tǒng)計學(xué)意義(P>0.05)。觀察組術(shù)中出血量 少于對照組,手術(shù)時間短于對照組(均P<0.05)。術(shù)后12個月,兩組患者的月經(jīng)量比、 痛經(jīng)程度比、子宮體積比比較的差異均無統(tǒng)計學(xué)意義(P>0.05)。術(shù)后24個月,觀察組 患者的月經(jīng)量比為0.40±0.07,明顯小于對照組(0.48±0.08) (t=3.355,P=0.02<0.05); 痛經(jīng)程度比為0.43±0.08,明顯小于對照組 0.53±0.11(t=3.199,P=0.03<0.05); 而兩組患者子宮體積比比較的差 異無統(tǒng)計學(xué)意義(P>0.05)。結(jié)論 子宮腺肌瘤病灶切除術(shù)可有效治療月經(jīng)量多、痛經(jīng) 、子宮增大等癥狀; 聯(lián)合子宮動脈阻斷術(shù)減少手術(shù)出血、縮短手術(shù)時間,有助于子宮腺肌瘤病灶 切除術(shù)的遠期療效。
Abstract:
Objective To investigate the effect and the value of laparoscopic adenomyoma combined with uterine artery occlusion in the treatment of adenomyoma.Methods From June 2014 to June 2015, 42 patients with adenomyoma received surgery therapy in department of gynecology were randomly divided into control group(n=21)who received laparoscopic excision of adenomyoma and observation group(n=21)who received laparoscopic uterine artery occlusion plus excision of adenomyoma.Average age, diameter of the largest adenomyoma and length of uterine before operation were compared between two groups.The blood volume,operation time and pelvic infection rate were compared between the two groups. The rate of menstrual volume, rate of dysmenorrhea degree and rate of uterine length before resection at the 12th month after resection and the 24th month after resection were calculated.Results There were no significant differences about average age, diameter of the largest adenomyoma and length of uterine before operation between two groups, and the rates of menstrual volume, dysmenorrhea degree and uterine length at the 12th month after operation compared these before resection showed no significance difference(P>0.05).The amount of bleeding in the observation group was less than that in the control group and the operation time was shorter than that in the control group.At the twenty-fourth month, the rate of menstrual volume and the rate of dysmenorrhea degree in the observation group(0.40±0.07 and 0.43±0.08)were less than those in control group(0.48±0.08 and 0.53±0.11)obviously(P<0.05), rate of uterine length between two groups showed no significance difference.Conclusion Laparoscopic adenomyoma can treat menorrhagia, dysmenorrheal and enlarged uterine. Combined uterine artery occlusion can enhance the long-term effect of laparoscopic adenomyoma.

參考文獻/References:

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備注/Memo

備注/Memo:
1 浙江省人民醫(yī)院婦科(杭州 310014)
更新日期/Last Update: 2019-02-20