Clinical observation of laparoscopic uterine arterial blockage in myomectomy
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摘要: 目的 评价子宫动脉阻断在腹腔镜下子宫肌瘤剔除术中的临床作用.方法 本院68例子宫肌瘤患者,随机分成2组:每组34例.观察组行腹腔镜下子宫动脉阻断联合肌瘤剔除术,对照组行常规腹腔镜下肌瘤剔除术.比较2组手术时间、术中出血量、术后排气时间、住院时间、术后病率,随访子宫肌瘤复发及月经改善情况.结果 观察组术中出血量较对照组明显减少(P＜0 05),2组手术时间、术后肛门排气时间及住院天数均无明显差异(P＞0.05),与对照组比较观察组术后病率低、肌瘤复发率低、月经改善率高,差异有显著意义(P＜0.05).结论 腹腔镜下先行子宫动脉阻断再行肌瘤剔除能有效减少术中出血,降低肌瘤复发率,明显缓解月经过多症状.
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