| 摘要: |
| 目的：研究分析阴道超声辅助行腹腔镜剔除术在治疗多发性子宫肌瘤中的临床疗效。方法：随机选取2015年1月~2016年1月于我院就诊的多发性子宫肌瘤患者82例,随机均分为观察组与对照组,各41例。对照组行腹腔镜子宫肌瘤剔除术,观察组使用阴道超声辅助行腹腔镜子宫剔除剔除术,观察并对比两组患者的临床疗效与预后。结果：两组患者手术时间、术中出血量、肠胃功能恢复时间、住院时间等对比差异不显著,无统计学意义(P>0.05)；且两组患者术后并发症发生率对比差异不显著,无统计学意义(P>0.05)；观察组患者的术后肌瘤残留率显著低于对照组(P<0.05),肌瘤直径显著小于对照组(P<0.05)；观察组患者的术后1年复发率显著低于对照组(P<0.05)；结论：在多发性子宫肌瘤治疗中采用阴道超声辅助行腹腔镜子宫肌瘤剔除术,能够有效降低子宫肌瘤残留率,并显著降低术后1年的复发率,预后效果较好,具有较高的临床应用价值,值得推广使用。 |
| 关键词: 阴道超声 腹腔镜剔除术 多发性子宫肌瘤 |
| DOI： |
| 投稿时间：2016-12-20修订日期：2017-02-09 |
| 基金项目: |
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| Clinical efficacy of transvaginal ultrasound assisted laparoscopic surgery in the treatment of multiple uterine fibroids |
| Li Dan |
| () |
| Abstract: |
| Objective: To study the clinical effect of transvaginal ultrasound assisted laparoscopic surgery in the treatment of multiple uterine fibroids. Methods: 82 cases of multiple uterine fibroids in our hospital from January 2015 to January were randomly divided into the observation group and the control group, 41 cases in each of the cases. The control group was treated with laparoscopic uterine fibroids, the observation group was treated with transvaginal ultrasound assisted laparoscopic uterine excision, the clinical effect and prognosis of the two groups were observed and compared. Results: two groups of patients with operation time, intraoperative blood loss, gastrointestinal function recovery time, hospitalization time compared no significant difference, no statistical significance (P>0.05); and two groups of patients with postoperative complication rate compared no significant difference, no statistical significance (P>0.05); the rate of residual myoma was significantly lower than the control group in the observation group after the operation (P<0.05), leiomyoma diameter was significantly less than the control group (P<0.05); the observation group of patients with postoperative 1 year recurrence rate was significantly lower than the control group (P<0.05);Conclusion:In the treatment of multiple uterine fibroids by transvaginal ultrasound assisted for uterine myoma underwent laparoscopic myomectomy, can effectively reduce the residual rate of uterine fibroids 1 years, and significantly reduce the recurrence rate, the prognosis is better, with a high clinical value, worthy of promotion of use. |
| Key words: Transvaginal ultrasound laparoscopic surgery multiple uterine fibroids |
