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目的评估腹腔镜下阻断子宫血流+子宫肌瘤挖出术治疗子宫肌瘤的临床效果及对中远期疗效。方法将120例要求保留子宫但无生育要求的子宫肌瘤患者随机分成对照组和观察组,每组60例。对照组行腹腔镜下子宫肌瘤剜出术治疗,观察组行腹腔镜下子宫血流阻断术+子宫肌瘤剜出术治疗。比较两组手术时间、术中出血量、中转剖腹率、术后病率、手术并发症、住院时间及费用;随访3年,观察子宫情况及再次妊娠情况。结果观察组手术时间、术中出血量、住院时间及手术费用较对照组均明显减少(P<0.05),而中转剖腹率、手术并发症及术后病率并未增加(P>0.05)。随访结束后子宫改善情况及再次妊娠率均明显提高,与单纯子宫肌瘤剜出术组比较,具有统计学差异(P<0.05)。结论腹腔镜下阻断子宫血流+子宫肌瘤挖出术治疗子宫肌瘤优势明显,手术安全有效,中远期预后好,值得临床应用推广。
Objective To evaluate the clinical effect of laparoscopic uterine blood flow and uterine fibroids in the treatment of uterine fibroids and its effect on the long-term and long-term. Methods A total of 120 patients with uterine leiomyoma requiring uterus retention but without fertility were randomly divided into control group and observation group with 60 cases in each group. The control group underwent laparoscopic uterine fibroids surgery, the observation group underwent laparoscopic uterine blood flow blocking surgery + uterine fibroids 剜 surgery. The operation time, intraoperative blood loss, laparotomy laparotomy, postoperative morbidity, operative complications, hospitalization time and cost were compared between the two groups. The patients were followed up for 3 years to observe the uterus condition and pregnancy again. Results The operation time, intraoperative blood loss, hospitalization time and operation cost in the observation group were significantly decreased (P <0.05), while the laparotomy rate, operative complications and postoperative morbidity were not increased in the observation group (P> 0.05). After the end of follow-up, the situation of uterus improvement and pregnancy rate were significantly increased, which was statistically different from that of uterine leiomyoma (P <0.05). Conclusion laparoscopic uterine blood flow + hysterectomy uterine fibroids treatment of uterine fibroids obvious advantages, safe and effective operation, long-term prognosis, it is worth promoting the clinical application.