本文關(guān)鍵詞： 子宮肌瘤 超聲 腹腔鏡 微創(chuàng)　出處：《中國內(nèi)鏡雜志》2017年11期 　論文類型：期刊論文

【摘要】：目的探討腹腔鏡超聲在輔助子宮肌瘤剔除術(shù)中的應(yīng)用價值,為臨床降低子宮肌瘤術(shù)后復(fù)發(fā)率提供科學(xué)依據(jù)。方法選取2011年1月-2014年6月在該院住院治療的子宮肌瘤患者156例,根據(jù)數(shù)字表法將患者分為對照組和觀察組,每組78例,對照組患者給予常規(guī)的腹腔鏡微創(chuàng)治療,觀察組患者給予腹腔鏡超聲輔助微創(chuàng)治療,比較兩組患者一般治療情況、術(shù)后殘留和12個月復(fù)發(fā)的情況、不同時間點的肌瘤個數(shù)和肌瘤直徑,分析子宮肌瘤的數(shù)目與殘留與復(fù)發(fā)的關(guān)系。結(jié)果兩組患者手術(shù)時間、術(shù)中出血量、住院時間以及肛門排氣時間的差異均無統(tǒng)計學(xué)意義;觀察組患者術(shù)后殘留的比例以及12個月內(nèi)復(fù)發(fā)的比例明顯低于對照組,且差異具有統(tǒng)計學(xué)意義;觀察組術(shù)后3、6、9和12個月的子宮肌瘤數(shù)目低于對照組;兩組患者術(shù)后3和6個月子宮肌瘤最大直徑的差異無統(tǒng)計學(xué)意義,觀察組患者術(shù)后9和12個月的子宮肌瘤的最大直徑明顯低于對照組,且差異具有統(tǒng)計學(xué)意義;隨著患者子宮肌瘤數(shù)目的增多,術(shù)后的殘余發(fā)生率和復(fù)發(fā)率明顯提升,當子宮肌瘤的數(shù)目≥10個,殘留率為100.0%,復(fù)發(fā)率為80.0%。結(jié)論腹腔鏡超聲輔助微創(chuàng)手術(shù)應(yīng)用于子宮肌瘤患者,可以有效降低術(shù)后的殘余率和復(fù)發(fā)率,值得臨床推廣。
[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.
【作者單位】： 海南省海口市婦幼保健院超聲科;
【分類號】：R737.33

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