醋酸亮丙瑞林预处理联合腹腔镜下子宫肌瘤剔除术治疗巨大子宫肌瘤效果评价.docVIP

醋酸亮丙瑞林预处理联合腹腔镜下子宫肌瘤剔除术治疗巨大子宫肌瘤效果评价 　　[摘要]目的 探讨醋酸亮丙瑞林预处理联合腹腔镜下子宫肌瘤剔除术治疗巨大子宫肌瘤的临床疗效。方法 选取2014年5月～2016年5月我院收治的60例巨大子宫肌瘤患者作为研究对象，依照入院顺序分为两组，每组各30例。常规组患者直接采取腹腔镜下子宫肌瘤剔除术，实验组患者给予醋酸亮丙瑞林预处理后进行手术治疗。比较实验组患者治疗前后的子宫肌瘤体积，比较两组患者的手术情况、术后恢复情况、复发率及妊娠率。结果 实验组患者治疗后的子宫肌瘤体积明显小于治疗前，差异有统计学意义（P0.05）。结论 对巨大子宫肌瘤患者采取醋酸亮丙瑞林联合腹腔镜下子宫肌瘤剔除术进行治疗，效果显著，便于减少术中出血量，缩短住院时间，利于身体的早日康复。 　　[关键词]巨大子宫肌瘤；腹腔镜；子宫肌瘤剔除术；醋酸亮丙瑞林 　　[中图分类号] R737.33 [文献标识码] A [文章编号] 1674-4721（2017）11（b）-0064-03 　　[Abstract]Objective To investigate the clinical efficacy of Leuprorelin Acetate pretreatment combined with laparoscopic myomectomy in the treatment of giant uterine fibroids.Methods 50 patients with giant uterine fibroids who were treated in our hospital from May 2014 to May 2016 were selected as subjects.According to the order of admission，the patients were divided two groups，30 cases in each group.The conventional group was directly given laparoscopic myomectomy，and the experimental group was given Leuprolide Acetate pretreatment before the surgical treatment.The volume of uterine fibroids were compared in the experimental group before and after the treatment，and the surgical conditions，postoperative recovery，the recurrence rate and the pregnancy rate of the two groups were compared.Results The volume of uterine fibroids in the experimental group after treatment was significantly lower than that before treatment，and the difference was statistically significant （P0.05）.Conclusion The effect of Leuprolide Acetate combined laparoscopic myomectomy is significant in the treatment of patients with giant uterine fibroids，which is easy to reduce intraoperative blood loss，and shorten the length of hospital stay，and is conducive to early recovery. 　　[Key words]Giant uterine fibroids；Laparoscopy；Myomectomy；Leuprorelin Acetate 　　子?m肌瘤属于常见的一类女性生殖器良性肿瘤，以30～50岁的女性作为主要发病对象[1]，目前关于其具体的病因尚无明确的定论，主要依靠手术进行治疗，术前给予促性腺激素释放激素激动剂便于缓解患者的临床症状，纠正贫血状态，将子宫与肌瘤体积适当缩小，便于为后续的手术治疗创造有利的条件[2-3]。但是目前临床上关于醋酸亮丙瑞林联合腹腔镜下子宫肌瘤剔除术的治疗方案较为少见，本研究选取我院收治的60例巨大子宫肌瘤患者作为研