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目的:分析保留子宫动脉上行支及部分子宫内膜的子宫体大部分切除术治疗子宫肌瘤的效果。方法:将2007年5月-2011年11月期间收治于我院的子宫良性病变需切除的患者86例为研究对象,随机将其均分成观察组和对照组,每组各43例,对照组采用传统子宫切除;观察组采用子宫体大部分切除。对比分析两组患者手术时间、术中出血量、围绝经期症状以及肠功能恢复时间。结果:在经过不同治疗后,两组患者手术时间、术中出血量等指标无显著差异(P>0.05),观察组患者围绝经期症状不明显,对照组发生围绝经期症状明显,两组间比较差异显著(P<0.05)。结论:在对患者进行子宫肌瘤治疗时,选择采用保留子宫动脉上行支及部分子宫内膜的子宫体大部分切除术治疗效果确切,值得推广使用。
OBJECTIVE: To analyze the effect of removing most of the uterine body of the uterine artery of the ascending branch of uterine artery and part of the endometrium in the treatment of uterine fibroids. Methods: 86 cases of patients with benign uterine lesions who were treated in our hospital from May 2007 to November 2011 were divided into observation group and control group, 43 cases in each group and control group Traditional hysterectomy; observation group using most of the uterus resection. The operation time, intraoperative blood loss, perimenopausal symptoms and intestinal function recovery time were compared between the two groups. Results: There was no significant difference between the two groups in the operation time and blood loss after treatment (P> 0.05). The symptoms of perimenopausal group were not obvious in the observation group and the perimenopausal symptoms in the control group were significant The difference was significant (P <0.05). Conclusion: In the treatment of patients with uterine fibroids, choose to retain the uterine arteries upstream uterine branch and the majority of the uterine resection of the exact effect of treatment, it is worth promoting the use of.