不同方式治疗子宫肌瘤对术后妊娠影响临床分析.docVIP

不同方式治疗子宫肌瘤对术后妊娠影响的临床分析 　　[摘要] 目的 临床分析不同方式治疗子宫肌瘤术后对妊娠的影响。方法 随机选取某院2011年10月―2014年10月收治的子宫肌瘤患者96例，采用随机数字法分成3组，A组、B组、C组，每组32例。A组采用子宫剔除术（TLM）、B组采用子宫动脉栓塞手术（UAM）、C组采用高强度聚焦超声治疗（HIFU）。临床比较3组患者手术指标、治疗有效率以及最终妊娠结果。结果 A组的治疗方式在手术时间、术中出血量、术后下床活动时间以及住院天数与B、C两组比较相比具有明显的差异性，组间比较差异有统计学意义（P0.05）；临床效果对比中A组有效率达到100%最高，B组有效率84.37%其次，C组有效率68.75%最低，3组比较差异有统计学意义（P0.05）；3组疗效方式妊娠率比较：A组妊娠率为71.87%；B组妊娠率为46.78%；C组妊娠率21.88%。A组妊娠率最高，B组其次，C组最低，3组组间比较差异有统计学意义（P0.05）。结论 采用子宫剔除术妊娠率较大，与子宫动脉栓塞手术、高强度聚焦超声治疗具有一定的优势，临床效果较好，但是恢复时间较慢。 　　[关键词] 子宫肌瘤；治疗方式；临床；妊娠 　　[中图分类号] R725 [文献标识码] A [文章编号] 1674-0742（2016）01（b）-0020-03 　　Clinical Analysis of the Effect of Different Ways of Treatment for Uterine Fibroids on the Postoperative Pregnancy 　　WANG Yan-fang 　　Department of Gynaecology， Dali Bai Autonomous Prefecture People’s Hospital， Dali， Yunnan Province， 671000 China 　　[Abstract] Objective To analyze the effect of different ways of treatment for uterine fibroids on the postoperative pregnancy. Methods 96 patients with uterine fibroids admitted in a hospital from October 2011 to October 2014 were selected and randomly divided into three groups， group A， group B group and group C with 32 cases in each. Group A were treated by TLM， group B were treated by UAM， and group C were treated by HIFU. And the values of surgical indexes， response rate and final outcome of pregnancy of the three groups were compared. Results The differences in the operative time， intraoperative blood loss， postoperative ambulation time and length of stay between group A and group B or between group A and group C were statistically significant（P0.05）. Group A had the highest response rate（100%）， followed by group B（84.37%）， and group C had the lowest response rate（68.75%） （P0.05）. Group A had the highest pregnancy rate（71.87%）， followed by group B（46.78%）， and group C had the lowest pregnancy rate（21.88%） （P0.05）. Conclusion Compared with UAM and HIFU， TLM has better clinical effect and higher pregnancy rate but with slower recovery. 　　[