腹腔镜超声辅助在子宫肌瘤患者微创手术中的应用研究

发布时间：2018-02-15 19:59

本文关键词： 子宫肌瘤超声腹腔镜微创　出处：《中国内镜杂志》2017年11期 　论文类型：期刊论文

【摘要】：目的探讨腹腔镜超声在辅助子宫肌瘤剔除术中的应用价值,为临床降低子宫肌瘤术后复发率提供科学依据。方法选取2011年1月-2014年6月在该院住院治疗的子宫肌瘤患者156例,根据数字表法将患者分为对照组和观察组,每组78例,对照组患者给予常规的腹腔镜微创治疗,观察组患者给予腹腔镜超声辅助微创治疗,比较两组患者一般治疗情况、术后残留和12个月复发的情况、不同时间点的肌瘤个数和肌瘤直径,分析子宫肌瘤的数目与残留与复发的关系。结果两组患者手术时间、术中出血量、住院时间以及肛门排气时间的差异均无统计学意义;观察组患者术后残留的比例以及12个月内复发的比例明显低于对照组,且差异具有统计学意义;观察组术后3、6、9和12个月的子宫肌瘤数目低于对照组;两组患者术后3和6个月子宫肌瘤最大直径的差异无统计学意义,观察组患者术后9和12个月的子宫肌瘤的最大直径明显低于对照组,且差异具有统计学意义;随着患者子宫肌瘤数目的增多,术后的残余发生率和复发率明显提升,当子宫肌瘤的数目≥10个,残留率为100.0%,复发率为80.0%。结论腹腔镜超声辅助微创手术应用于子宫肌瘤患者,可以有效降低术后的残余率和复发率,值得临床推广。
[Abstract]:Objective to explore the application value of laparoscopic ultrasound in assisted hysteromyomectomy, and to provide a scientific basis for reducing the recurrence rate of uterine leiomyoma. Methods 156 cases of uterine leiomyoma who were hospitalized in our hospital from January 2011 to June 2014 were selected. According to the method of digital table, the patients were divided into control group and observation group, 78 cases in each group. The patients in control group were treated with routine laparoscopic minimally invasive therapy, the patients in observation group were treated with ultrasound assisted minimally invasive treatment, and the general treatment conditions of the two groups were compared. The number of myoma and the diameter of myoma at different time points, the relationship between the number of uterine leiomyoma and residual and recurrence were analyzed. Results the operation time and the amount of intraoperative bleeding in the two groups were analyzed. There was no significant difference in hospitalization time and anal exhaust time, the rate of postoperative residual and recurrence within 12 months in the observation group was significantly lower than that in the control group, and the difference was statistically significant. The number of uterine leiomyomas in the observation group was lower than that in the control group at the 3rd and 12th months after operation, and there was no significant difference in the maximum diameter of the uterine leiomyoma between the two groups at 3 and 6 months after operation. The maximum diameter of uterine leiomyoma in the observation group was significantly lower than that in the control group 9 and 12 months after operation, and the difference was statistically significant. When the number of uterine leiomyomas is more than 10, the residual rate is 100.0and the recurrence rate is 80.0.Conclusion Laparoscopic ultrasound assisted minimally invasive surgery can effectively reduce the residual rate and recurrence rate after operation, and is worth popularizing in clinic.
【作者单位】：海南省海口市妇幼保健院超声科;
【分类号】：R737.33

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