腹腔镜下不同子宫肌瘤剔除方式妊娠结局的比较.docVIP

腹腔镜下不同子宫肌瘤剔除方式妊娠结局的比较 　　[摘 要] 目的：比?^不同子宫肌瘤剔除方式对妊娠结局的影响。方法：217例患者中注射垂体后叶素组84例（A组），子宫动脉阻断组61例（B组），单纯腹腔镜下子宫肌瘤剔除患者126例（C组）。比较3组患者手术情况、术后并发症、治疗效果及妊娠结局。结果：B组手术时间高于A组、C组，其术中出血量低于其他2组；A组、B组术中出血量、术后肛门排气时间、住院时间均低于C组，差异均有统计学意义（P0.05），C组术后并发症发生率为9.52%（12/126），高于其他2组，差异有统计学意义（P0.05）。结论：与单纯腹腔镜、局部注射垂体后叶素后子宫肌瘤剔除相比，子宫动脉阻断后切除病灶虽然技术要求较高，但能够在保证治疗效果与妊娠结局的前提下，进一步减少手术创伤、缩短术后恢复时间、降低术后并发症发生风险。 　　[关键词] 子宫肌瘤；术式；妊娠结局 　　中图分类号：R713.4 文献标识码：A 文章编号：2095-5200（2017）03-043-03 　　DOI：10.11876/mimt201703019 　　[Abstract] Objective： This study aimed to compare the effects of different uterine leiomyoma rejection on pregnancy outcome. Methods： Among 217 patients， 84 were treated with pituitrin （group A）， 61 patients with uterine artery occlusion （group B） and 126 patients underwent laparoscopic myomectomy （group C）. The surgical conditions， postoperative complications， treatment and pregnancy outcome were compared among the three groups. Results： The operation time of group B was higher than that of group A and group C， and the blood loss in group B was lower than those in other two groups. The blood loss， postoperative anal exhaust time and hospitalization time in group A and group B were lower than those in group C， and the difference was statistically significant. The incidence of postoperative complications in group A and group B was 4.92% （3/61） and 5.95% （5/84） respectively. There was no significant difference between group A and group B； the incidence of postoperative complications in group C was 9.52% （12/126）， which was higher than those in the other two groups， the difference was statistically significant. The rates of myoma retention and recurrence of group B was lower than those of group A and group C， and the recurrence rate of group A was lower than that of group C， the difference was statistically significant. There was no significant difference in time to pregnancy and pregnancy outcome among the three groups. Conclusions： Compared with simple laparoscopic and posterior pituitary aden