经阴道超声在腹腔镜子宫肌瘤剔除术中的应用与可行性分析(1)
【摘要】 目的：研究与分析经阴道超声在腹腔镜子宫肌瘤剔除术中的应用与可行性。方法：选取2015年1月-2017年1月本院收治的子宫肌瘤患者60例为研究对象。按照随机数字表法将其分为对照组和观察组，各30例。对照组采取腹腔镜子宫肌瘤剔除术，而在此基础上，观察组术前采取经阴道超声引导。比较两组手术情况、术后并发症及预后。结果：两组术中出血量、手术时间、胃肠恢复时间、住院时间比较，差异均无统计学意义(P>0.05)；观察组并发症发生率为6.67%，低于对照组的20.00%(P<0.05)；观察组术后肌瘤残留率、肌瘤直径、术后1年复发率均小于对照组，比较差异均有统计学意义(P<0.05)。结论：在腹腔镜子宫肌瘤剔除术中应用经阴道超声的效果非常显著，即可显著减少术后患者子宫肌瘤残留率以及1年后复发率，因此具有较高可行性，值得临床应用推广。
【关键词】 子宫肌瘤剔除术； 腹腔镜； 经阴道超声； 可行性
Application and Feasibility Analysis of Transvaginal Ultrasound in Laparoscopic Myomectomy/LI Kehong，JIANG Biyan，QIU Jun，et al.//Medical Innovation of China，2018，15(16)：0-101
【Abstract】 Objective：To study and analyze the application and feasibility of transvaginal ultrasound in laparoscopic myomectomy.Method：A total of 60 patients with uterine fibroids who were admitted to our hospital from January 2015 to January 2017 were selected.According to the random number table method，they were divided into control group and observation group，30 cases in each group.The control group took laparoscopic myomectomy，and on this basis，the observation group was guided by transvaginal ultrasound before surgery.The operative conditions，postoperative complications and prognosis between two groups were compared.Result：The bleeding volume，operative time，gastrointestinal recovery time and hospital stay between two groups were compared，the differences were not statistically significant(P>0.05).The complication rate in observation group was 6.67%，which was lower than 20.00% in control group(P<0.05).The residual rate of myoma，the diameter of myoma and the recurrence rate after 1 year in observation group were all lower than those of control group，the differences were statistically significant(P<0.05).Conclusion：The effect of transvaginal ultrasound in laparoscopic myomectomy is very significant，which can significantly reduce the residual rate of uterine fibroids in postoperative patients and the recurrence rate after 1 year.Therefore，it is highly feasible and worthy of clinical application.
【Key words】 Uterine myomectomy； Laparoscopy； Transvaginal ultrasound； Feasibility
First-author’s address：Heyuan People’s Hospital，Heyuan 517000，China
doi：10.3969/j.issn.1674-4985.2018.16.029
在臨床妇科中，子宫肌瘤较为常见，其以腹部包块、月经异常、肌瘤增大产生压迫、急腹痛等为主要临床症状。该病症可增加患者流产概率，严重情况下还会造成患者不孕[1-3]。而在临床治疗子宫肌瘤患者的过程中，首选治疗方法为手术治疗，而通过采用腹腔镜子宫肌瘤剔除术治疗此类患者，其优点主要为创伤性小[4-6]。但多数患者在治疗期间，由于术野有限，因而其术后容易出现肌瘤残留，从而造成患者病情复发[7-9]。因此本文选取本院2016年1月-2018年1月收治的子宫肌瘤患者60例为对象进行研究，将其随机分为对照组和观察组，各30例，即对经阴道超声在腹腔镜子宫肌瘤剔除术中的应用与可行性进行了研究与分析。现报道如下。, 百拇医药(李克红 江碧艳 邱珺)
【关键词】 子宫肌瘤剔除术； 腹腔镜； 经阴道超声； 可行性
Application and Feasibility Analysis of Transvaginal Ultrasound in Laparoscopic Myomectomy/LI Kehong，JIANG Biyan，QIU Jun，et al.//Medical Innovation of China，2018，15(16)：0-101
【Abstract】 Objective：To study and analyze the application and feasibility of transvaginal ultrasound in laparoscopic myomectomy.Method：A total of 60 patients with uterine fibroids who were admitted to our hospital from January 2015 to January 2017 were selected.According to the random number table method，they were divided into control group and observation group，30 cases in each group.The control group took laparoscopic myomectomy，and on this basis，the observation group was guided by transvaginal ultrasound before surgery.The operative conditions，postoperative complications and prognosis between two groups were compared.Result：The bleeding volume，operative time，gastrointestinal recovery time and hospital stay between two groups were compared，the differences were not statistically significant(P>0.05).The complication rate in observation group was 6.67%，which was lower than 20.00% in control group(P<0.05).The residual rate of myoma，the diameter of myoma and the recurrence rate after 1 year in observation group were all lower than those of control group，the differences were statistically significant(P<0.05).Conclusion：The effect of transvaginal ultrasound in laparoscopic myomectomy is very significant，which can significantly reduce the residual rate of uterine fibroids in postoperative patients and the recurrence rate after 1 year.Therefore，it is highly feasible and worthy of clinical application.
【Key words】 Uterine myomectomy； Laparoscopy； Transvaginal ultrasound； Feasibility
First-author’s address：Heyuan People’s Hospital，Heyuan 517000，China
doi：10.3969/j.issn.1674-4985.2018.16.029
在臨床妇科中，子宫肌瘤较为常见，其以腹部包块、月经异常、肌瘤增大产生压迫、急腹痛等为主要临床症状。该病症可增加患者流产概率，严重情况下还会造成患者不孕[1-3]。而在临床治疗子宫肌瘤患者的过程中，首选治疗方法为手术治疗，而通过采用腹腔镜子宫肌瘤剔除术治疗此类患者，其优点主要为创伤性小[4-6]。但多数患者在治疗期间，由于术野有限，因而其术后容易出现肌瘤残留，从而造成患者病情复发[7-9]。因此本文选取本院2016年1月-2018年1月收治的子宫肌瘤患者60例为对象进行研究，将其随机分为对照组和观察组，各30例，即对经阴道超声在腹腔镜子宫肌瘤剔除术中的应用与可行性进行了研究与分析。现报道如下。, 百拇医药(李克红 江碧艳 邱珺)
参见：首页 > 医疗版 > 疾病专题 > 妇产科 > 女性生殖器官肿瘤及肿瘤样病变 > 子宫肌瘤