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目的探讨腹腔镜下子宫肌瘤剔除术(LM)中应用垂体后叶素及缩宫素的止血效果比较。方法 60例研究对象为2010年2月—2012年2月在庐江县人民医院行子宫肌瘤剔除术的子宫肌瘤患者,随机分为A组和B组,A组30例一次性在子宫肌壁注射垂体后叶素6 U+0.9%氯化钠注射液100 ml。B组30例则一次性在子宫肌壁注射缩宫素20 U。比较手术时间及术中出血量的变化,术中出血量的计算以吸引器瓶中的液体总量减去冲洗液量,即是术中出血量。结果 2组手术均顺利完成,无中转进腹,垂体后叶素组与缩宫素组相比,术中出血量明显减少,A组(115.60±25.83)ml比B组(135.50±29.30)ml少,(P<0.01)。手术时间(min)明显缩短,A组(66.20±29.55)比B组(92.33±32.13)短(P<0.01)。结论腹腔镜下子宫肌瘤剔除术中应用垂体后叶素止血效果优于缩宫素,可明显减少术中出血,缩短手术时间,值得推广。
Objective To compare the hemostatic effects of pituitrin and oxytocin in laparoscopic myomectomy (LM). Methods 60 cases of patients with uterine fibroids in Lujiang County People’s Hospital from February 2010 to February 2012 were randomly divided into A group and B group, A group of 30 cases of one-time in the uterine muscle Pituitary injection of pituitrin 6 U + 0.9% sodium chloride injection 100 ml. Group B, 30 cases of one-time injection of oxytocin in the uterine muscle wall 20 U. Comparison of operation time and intraoperative blood loss changes, intraoperative blood loss calculation to the total amount of liquid in the suction bottle minus the amount of flushing fluid, which is the amount of intraoperative bleeding. Results The operation of the two groups was successfully completed without transit into the abdomen. Compared with the oxytocin group, the amount of bleeding in the pituitrin group was significantly decreased. The amount of bleeding in group A was significantly higher than that in group B (115.60 ± 25.83) ml (135.50 ± 29.30) ml Less, (P <0.01). The operation time (min) was significantly shorter in group A (66.20 ± 29.55) than in group B (92.33 ± 32.13) (P <0.01). Conclusion Laparoscopic hysterectomy hysterectomy in the application of pituitrin hemostatic effect is better than oxytocin, can significantly reduce intraoperative bleeding, shorten the operation time, it is worth promoting.