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目的观察腹腔镜下子宫腺肌瘤切除术和阻断子宫动脉术的临床效果。方法将2010年4月至2012年5月确诊的80例子宫腺肌瘤患者随机分为两组,治疗组(43例)应用腹腔镜超声辅助下阻断子宫动脉后行子宫腺肌瘤切除术治疗,对照组(37例)应用腹腔镜超声辅助下行子宫腺肌瘤切除术治疗,观察两组患者的术中出血量、手术时间、住院天数、术后病率、并发症及术后复发率。结果治疗组患者术中出血量明显小于对照组(P<0.05);治疗组患者手术时间明显大于对照组(P<0.05);两组患者的住院天数、术后病率及并发症差异无统计学意义(P>0.05)。治疗组患者术后复发率明显小于对照组(P<0.05)。结论腹腔镜辅助下子宫腺肌瘤切除术合并阻断子宫动脉术的止血效果良好,有效控制术中出血量,显著地降低术后复发率。此法可靠性强,操作性良好,具有较好临床应用价值。
Objective To observe the clinical effect of laparoscopic adenomyosis and blocking uterine artery surgery. Methods 80 cases of adenomyosis of the uterus diagnosed from April 2010 to May 2012 were randomly divided into two groups. The treatment group (43 cases) underwent laparoscopic ultrasound-assisted uterine artery ablation of adenomyosis The patients in control group (37 cases) were treated with laparoscopic ultrasound-assisted resection of adenomyosis. The intraoperative blood loss, operation time, hospitalization days, postoperative morbidity, complications and postoperative recurrence were observed . Results The bleeding volume in the treatment group was significantly less than that in the control group (P <0.05). The operation time in the treatment group was significantly longer than that in the control group (P <0.05). There was no statistical difference in the days of hospitalization, postoperative morbidity and complications between the two groups Significance (P> 0.05). The recurrence rate of the treatment group was significantly less than that of the control group (P <0.05). Conclusion Laparoscopic assisted adenomyosis adenomyctomy combined with blocking uterine artery hemostasis is effective and effective control of intraoperative blood loss, significantly reduce postoperative recurrence rate. This method is reliable, good operability, with good clinical value.