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首页> 外文期刊>Surgical Endoscopy >Temporary simultaneous two-arterial occlusion for reducing operative blood loss during laparoscopic myomectomy: a randomized controlled trial
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Temporary simultaneous two-arterial occlusion for reducing operative blood loss during laparoscopic myomectomy: a randomized controlled trial

机译：临时同时同时两动脉闭塞，用于减少腹腔镜切除术期间的手术失血：随机对照试验

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BackgroundTo evaluate the efficacy and safety of temporary simultaneous two-arterial occlusions (TESTO) in terms of operative blood loss during laparoscopic myomectomy.MethodsA total of 62 patients with symptomatic myomas were randomly assigned to either the experimental group or the control group. In the experimental group, the uterine arteries and utero-ovarian arteries were temporarily occluded with laparoscopic bulldog clamps. The primary outcome measures were operative blood loss and change in hemoglobin.ResultsThere were no differences in baseline demographics between the two groups. The amounts of operative blood loss (56.342.8mL vs. 138.2 +/- 48.8mL, p<0.001) and change in hemoglobin (1.0 +/- 0.5g/dL vs. 1.7 +/- 1.1g/dL, p=0.002) were significantly lower in the experimental group than that in the control group. The total operative time was not significantly different between the two groups. However, it took less time for myoma enucleation (13.1 +/- 14.6min vs. 17.6 +/- 10.4min, p=0.006) and for uterine suturing (19.5 +/- 10.7min vs. 24.6 +/- 8.8min, p=0.006) in the experimental group than that in the control group. None of patients in both groups developed operative complications.Conclusion The use of the TESTO procedure is effective in reducing operative blood loss and hemoglobin loss without causing morbidity during laparoscopic myomectomy.
机译：背景技术在腹腔镜MyoMectomy期间评估临时同时两动脉闭塞（Testo）的疗效和安全性。关于实验组或对照组的62例症状脓肿患者的62例患者。在实验组中，子宫动脉和子宫卵巢动脉暂时用腹腔镜斗牛犬夹堵塞。主要结果措施是血红蛋白的术失血和变化。两组之间的基线人口统计学没有差异。术失血量（56.342.8mL与138.2 +/- 48.8ml，p <0.001）和血红蛋白的变化（1.0 +/- 0.5g / dl与1.7 +/- 1.1g / dl，p = 0.002 ）在实验组中显着低于对照组。两组之间的总操作时间没有显着差异。然而，肌瘤enucleation的时间较少（13.1 +/- 14.6min，p = 0.006）和子宫缝合（19.5 +/- 10.7min，ps.2.6 +/- 8.8min，p在实验组中= 0.006）比对照组中的实验组。两组患者均未产生操作并发症。结论使用睾丸程序的使用是有效地减少手术失血和血红蛋白损失而不会导致腹腔镜肌瘤切除术期间发病率。

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