Objective To investigate the feasibility and therapeutic effects of uterine arterial ascending branch blockage before laparoscopic myomectomy. Methods 150 patients with uterine myomas were divided into two groups. Study group had 75 patients who received uterine arterial ascending branch blockage before undergoing laparoscopic myomectomy; Control group had 75 patients who received conventional laparoscopic myomectomy. The operative time,intra-operative blood loss,post - operative recovery,therapeutic effects and influence to sex hormone were analyzed. Results The mean operative blood loss,anus passage times and in -hospital days in the study group were significantly less than the control group (P <0.05) ;the uterine myoma recurrence rate of the study group was lower (P<0.05) ;Hemoglobin level recovered faster in the study group (P<0.05)- There was no significant difference of sex hormone levels before and after operation in both groups ( P > 0. 05). Conclusion Uterine arterial ascending branch blockage before undergoing laparoscopic myomeetomy can be performed safely. It may reduce the recurrence rate of uterine myoma and relieve the symptoms with little influence to the ovarian function.%目的 探讨腹腔镜下予宫动脉升支阻断后行于宫肌瘤剔除的可行性及临床疗效.方法 150例子宫肌瘤患者,随机分成两组.研究组75例,在腹腔镜下肌瘤剔除前行双侧子宫动脉升支阻断；对照组75例,以常规方法在腹腔镜下行肌瘤剔除术.观察两组手术时间、术中出血量,术后恢复情况及对性激素的影响.结果 研究组术中出血量、术后排气时间及住院天数均较对照组短(P＜0.05),肌瘤复发率及症状复发率均低于对照组(P＜0.05),研究组血红蛋白恢复更快(P＜0.05),两组患者术后性激素水平与术前基础值差异均无统计学意义(P＞0.05).结论 腹腔镜下子宫动脉升支阻断后行肌瘤剔除能减少术中出血,降低肌瘤复发,缓解症状同时不影响患者的卵巢功能.
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