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首页> 外文期刊>Surgical Endoscopy >Midterm follow-up study of laparoscopic dissection of uterine vessels for surgical treatment of symptomatic fibroids.
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Midterm follow-up study of laparoscopic dissection of uterine vessels for surgical treatment of symptomatic fibroids.

机译：腹腔镜子宫血管解剖术治疗有症状的肌瘤的中期随访研究。

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BACKGROUND: This study aimed to assess laparoscopic dissection of uterine vessels (LDUV) for symptomatic fibroids in women. METHODS: A total of 69 women entered the study between March 2000 and June 2003. In this case series, 68 consecutive women underwent LDUV using ultrasonically activated sheers or electrosurgery for the treatment of fibroids over 3 years (median follow-up period, 14.5 months). Ultrasound or magnetic resonance imaging was carried out 3, 6, 12, 24, and 36 months after treatment. The tissue markers, gonadotropin, and estrogen levels were studied postoperatively. RESULTS: Almost all the patients (98.5%) had a successful LDUV with a low rate (7.3%) of postoperative complications. The time of surgery ranged from 15 to 50 min (mean, 30.8 min). The blood loss was minimal (mean, 14.7 ml), and the hospital stay was 2.4 days. Symptom improvement (menorrhagia or dysmenorrhoea) was 93.2%, and the average reduction in the dominant myoma was 57.8% during a follow-up period longer than 12 months. All the patients with anemia had normal red cell counts after 3 months. CONCLUSIONS: Uterine volume and the dominant fibroid were significantly reduced and symptoms were improved by LDUV. The laparoscopic procedure is associated with insignificant tissue damage and normal gonadotropin and estrogen levels.
机译：背景：这项研究旨在评估妇女的症状性肌瘤的腹腔镜子宫血管解剖（LDUV）。方法：从2000年3月至2003年6月，共有69名妇女进入研究。在这种情况下，连续68名妇女在3年内（采用中位随访期14.5个月）使用超声激活的纯粹手术或电外科手术治疗了子宫肌瘤。 ）。治疗后3、6、12、24和36个月进行超声或磁共振成像。术后研究组织标志物，促性腺激素和雌激素水平。结果：几乎所有患者（98.5％）LDUV成功，术后并发症发生率低（7.3％）。手术时间为15至50分钟（平均30.8分钟）。失血量极少（平均14.7毫升），住院时间为2.4天。在超过12个月的随访期间，症状改善（月经过多或痛经）为93.2％，优势肌瘤的平均减少率为57.8％。 3个月后，所有贫血患者的红细胞计数均正常。结论：LDUV可明显减少子宫体积和显性肌瘤，并改善症状。腹腔镜手术与微不足道的组织损伤以及正常的促性腺激素和雌激素水平有关。

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