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目的评价止血带可逆性阻断子宫动脉上行支在腹腔镜子宫肌瘤剔除术中的应用效果与安全性。方法采用止血带可逆性阻断子宫动脉上行支者55例纳入观察组,单纯腹腔镜下子宫肌瘤剔除术者65例纳入对照组,对比相关指标。结果观察组手术时间、术中出血量分别为(69±14)min、(82±33)m L低于对照组(82±23)min、(112±24)m L,术后月经初次来潮时间(38.2±3.5)d高于对照组(31.9±2.2)d,观察组6个月内肌瘤复发率3.64%低于对照组18.46%,差异具有统计学意义(P<0.05)。结论在腹腔镜子宫肌瘤剔除术中,以止血带可逆性阻断子宫动脉上行支,虽不能缩短排气时间、住院时间,且可能延长复潮时间,影响子宫功能,但有助于减少出血,缩短手术时间,降低复发风险,瑕不掩瑜。
Objective To evaluate the effect and safety of tourniquets reversibly blocking the uterine artery upstream branch in laparoscopic myomectomy. Methods Fifty-five patients with reversible uterine artery occlusion by tourniquet were included in the observation group. 65 cases of simple laparoscopic myomectomy were included in the control group, and the related indexes were compared. Results The operation time and intraoperative blood loss in the observation group were (69 ± 14) min and (82 ± 33) m L, respectively, lower than those in the control group (82 ± 23) min and (112 ± 24) m L (38.2 ± 3.5) days was significantly higher than that of the control group (31.9 ± 2.2 days). The recurrence rate of fibroids in the observation group within 6 months was 3.64% lower than that in the control group (18.46%), the difference was statistically significant (P <0.05). Conclusions In the laparoscopic myomectomy, the reversible occlusion of the uterine artery with tourniquets can shorten the exhaust time and hospitalization time, and may prolong the time of re-tidal recovery and affect uterine function, but help to reduce the bleeding , Shorten the operation time, reduce the risk of recurrence, flaw does not cover yoga.