PDF(Pubmed)
Abstract：
UNASSIGNED: Uterine artery occlusion (UAO) is a minimally invasive approach often used to treat symptomatic uterine myomas. This study aimed to compare the clinical effects of laparoscopic UAO (LUAO) in combination with laparoscopic myomectomy (LM) with LM alone to treat symptomatic multiple uterine myomas.
UNASSIGNED: This was a prospective observational study. In total, 122 patients with symptomatic multiple uterine myomas underwent LUAO + LM or LM alone between April 2015 and October 2017. The surgical procedure time, blood loss, highest postoperative temperature, hospital length of stay, number of removed myomas, surgical complications, and recurrence rate of the two groups were compared.
UNASSIGNED: Mean blood loss was significantly lower in the LUAO + LM group compared with the LM group (177.97 ± 104.09 mL vs 258.10 ± 119.55 mL, p < 0.05). No significant difference in surgical procedure time, hospital length of stay, highest postoperative temperature, and surgical complications was found between the LUAO + LM group and LM group. The number of removed myomas was considerably higher in the LUAO + LM group than in the LM group (4[4-7] vs 3[3-5], p < 0.05). The recurrence rate in the LUAO + LM group was considerably lower than that in the LM group (6.2% vs 25.9%).
UNASSIGNED: LUAO in combination with LM was associated with higher surgical quality and lower recurrence of myomas compared with LM alone. LUAO in combination with LM is recommended for women with symptomatic multiple uterine myomas who wish to retain their uteruses.
UNASSIGNED: This was a prospective observational study. In total, 122 patients with symptomatic multiple uterine myomas underwent LUAO + LM or LM alone between April 2015 and October 2017. The surgical procedure time, blood loss, highest postoperative temperature, hospital length of stay, number of removed myomas, surgical complications, and recurrence rate of the two groups were compared.
UNASSIGNED: Mean blood loss was significantly lower in the LUAO + LM group compared with the LM group (177.97 ± 104.09 mL vs 258.10 ± 119.55 mL, p < 0.05). No significant difference in surgical procedure time, hospital length of stay, highest postoperative temperature, and surgical complications was found between the LUAO + LM group and LM group. The number of removed myomas was considerably higher in the LUAO + LM group than in the LM group (4[4-7] vs 3[3-5], p < 0.05). The recurrence rate in the LUAO + LM group was considerably lower than that in the LM group (6.2% vs 25.9%).
UNASSIGNED: LUAO in combination with LM was associated with higher surgical quality and lower recurrence of myomas compared with LM alone. LUAO in combination with LM is recommended for women with symptomatic multiple uterine myomas who wish to retain their uteruses.
摘要：
■子宫动脉闭塞（UAO）是一种微创方法，通常用于治疗有症状的子宫肌瘤。本研究旨在比较腹腔镜UAO（LUAO）联合腹腔镜子宫肌瘤切除术（LM）与单纯LM治疗有症状的多发性子宫肌瘤的临床效果。
■这是一项前瞻性观察性研究。总的来说,在2015年4月至2017年10月期间，122例症状性多发性子宫肌瘤患者接受了LUAO+LM或LM单独治疗。手术时间,失血,术后最高体温,住院时间,切除的肌瘤数量,手术并发症,比较两组患者的复发率。
■与LM组相比，LUAO+LM组的平均失血量明显低于LM组（177.97±104.09mLvs258.10±119.55mL，p<0.05)。手术时间无显著差异，住院时间,术后最高体温,LUAO+LM组与LM组之间存在手术并发症。LUAO+LM组的肌瘤切除数量明显高于LM组（4[4-7]vs3[3-5]，p<0.05)。LUAO+LM组的复发率明显低于LM组(6.2%vs25.9%)。
■LUAO联合LM与单纯LM相比，具有更高的手术质量和更低的肌瘤复发率。建议将LUAO与LM组合用于希望保留子宫的有症状的多发性子宫肌瘤的女性。
■这是一项前瞻性观察性研究。总的来说,在2015年4月至2017年10月期间，122例症状性多发性子宫肌瘤患者接受了LUAO+LM或LM单独治疗。手术时间,失血,术后最高体温,住院时间,切除的肌瘤数量,手术并发症,比较两组患者的复发率。
■与LM组相比，LUAO+LM组的平均失血量明显低于LM组（177.97±104.09mLvs258.10±119.55mL，p<0.05)。手术时间无显著差异，住院时间,术后最高体温,LUAO+LM组与LM组之间存在手术并发症。LUAO+LM组的肌瘤切除数量明显高于LM组（4[4-7]vs3[3-5]，p<0.05)。LUAO+LM组的复发率明显低于LM组(6.2%vs25.9%)。
■LUAO联合LM与单纯LM相比，具有更高的手术质量和更低的肌瘤复发率。建议将LUAO与LM组合用于希望保留子宫的有症状的多发性子宫肌瘤的女性。
