子宫动脉阻断术在腹腔镜子宫肌瘤切除术中的应用

目的评价子宫动脉阻断术在腹腔镜下子宫肌瘤切除术中的可行性。方法回顾分析腹腔镜下子宫肌瘤切除术前结扎双侧子宫动脉(动脉阻断组)27例和直接腹腔镜下肌瘤切除(直接切除组)21例的临床资料,并对2组手术时间及术中出血情况进行对比分析。结果动脉阻断组手术时间短于直接切除组,术中出血量明显少于直接切除组,差异均有统计学意义(P<0.05)。结论腹腔镜子宫肌瘤切除术前先行双侧子宫动脉阻断再行肌瘤切除术,具有术中出血少、手术时间短等优点。

Application of uterine artery block in laparoscopic myomectomy

Objective To evaluate the feasibility of uterine artery block in laparoscopic myomectomy.Methods Retrospectively analyzed the clinical data of laparoscopic myomectomy before the blockage of bilateral uterine artery（artery blockage group） 27 cases and direct laparoscopic myomectomy（direct excision group）21 cases.Compared the average operating time,intraoperative blood loss of two groups.Results The average operating time of artery blockage group was shorter than that of direct excision group,intraoperative blood loss was significantly less than that of direct excision group,there were significant difference（P〈0.05）.Conclusion Block bilateral uterine artery before laparoscopic uterine myomectomy,with less bleeding,shorter operative time.