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目的探讨子宫动脉结扎在腹腔镜下子宫肌瘤剔除术中的临床应用价值。方法回顾性分析比较腹腔镜下子宫动脉结扎后子宫肌瘤剔除术32例(结扎组)和腹腔镜下常规子宫肌瘤剔除术32例(对照组)患者术中及术后情况。结果结扎组手术时间(51.2±20.8)m in,对照组手术时间(81.6±20.9)m in(P<0.05);结扎组术中出血量(45.1±44.9)m l,对照组术中出血量(134.6±89.2)m l(P<0.05)。结扎组术后肛门排气时间(27.7±5.2)h,对照组术后肛门排气时间(26.1±9.9)h(P>0.05)。结扎组住院日(5.0±1.4)d,对照组住院日(4.5±1.0)d(P>0.05)。结论腹腔镜下结扎子宫动脉后行子宫肌瘤剔除术具有术中出血量少,手术时间短,不影响术后恢复等优点。
Objective To investigate the clinical value of uterine artery ligation in laparoscopic myomectomy. Methods A retrospective analysis was performed to compare intraoperative and postoperative outcomes in 32 cases of laparoscopic uterine artery ligation (ligation group) and 32 cases of laparoscopic conventional myomectomy (control group). Results The operation time was (51.2 ± 20.8) m in the ligation group and 81.6 ± 20.9 m in the control group (P <0.05). The intraoperative blood loss in the ligation group was (45.1 ± 44.9) 134.6 ± 89.2) ml (P <0.05). The time of anal exhaust in the ligation group was (27.7 ± 5.2) h, and the time of anal exhaust in the control group was (26.1 ± 9.9) h (P> 0.05). The hospitalization day was 5.0 ± 1.4 days in the ligation group and 4.5 ± 1.0 days in the control group (P> 0.05). Conclusion Laparoscopic ligation of uterine artery uterine fibroids after surgery with less blood loss, short operative time, does not affect the advantages of postoperative recovery.