北华大学学报（自然科学版）2018，Vol.19Issue(3)：382-385,4.DOI:10.11713/j.issn.1009-4822.2018.03.022
腹腔镜下子宫动脉阻断术辅助子宫肌瘤剔除术对生育功能的影响
Effects of Myomectomy Assisted by Laparoscopic Uterine Arterial Blocking Technique on Fertility and Relapse Related Risk Factors
王虹 1何杰 1宋丽 1丁婷萍 1梁彩娟1
作者信息
- 1. 北华大学附属医院,吉林 吉林 132011
- 折叠
摘要
Abstract
Objective To explore the effects of myomectomy assisted by laparoscopic uterine arterial blocking technique on fertility in patients with uterine fibroids,and to analyze the risk factors affecting relapse. Method A total of 162 uterine fibroids patients were enrolled and divided into observation group and control group according to the operative modes. The observation group (70 cases) received transient uterine arterial ligation before uterine myomectomy,while the control group (92 cases) received laparoscopic myomectomy without uterine artery ligation.The pregnancy and relapse between the two groups were compared.And the related factors which could affect relapse were also analyzed statistically.Results The pregnancy and recurrence rates were 83.7%(77/92) and 17.4%(16/92) in the control group,and 84.3%(59/70) and 15.7%(11/70) in the observation group,respectively.There was no significant difference between the two groups (χ2=0.010 3, 0.080 5,P=0.919 3,0.776 6).Univariate analysis identified that age,preoperative delivery,and number,size and type of myomas were related factors for relapse,while age,BMI,preoperative delivery and the number of myomas were independent risk factors for relapse.Conclusion Laparoscopic uterine arterial blocking assisted myomectomy has not obvious impact on the pregnancy rate of uterine fibroids patients,but could not significantly improve postoperative relapse rate.关键词
子宫肌瘤/子宫动脉阻断/子宫肌瘤剔除术/生育/复发Key words
uterine myoma/uterine arterial blocking/myomectomy/fertility/relapse分类
医药卫生引用本文复制引用
王虹,何杰,宋丽,丁婷萍,梁彩娟..腹腔镜下子宫动脉阻断术辅助子宫肌瘤剔除术对生育功能的影响[J].北华大学学报（自然科学版）,2018,19(3):382-385,4.
