|
|
|
| Analysis of the Effect of Laparoscopic Assisted Lam on Patients with Uterine Subserosal Myoma with Diameter>10 cm |
| XIAO Bingbing |
| The People's Hospital of Jieshou, Anhui Jieshou 236500, China |
|
|
|
|
Abstract Objective: To analyze the effect of laparoscopic assisted small incision hysteromyomectomy (LAM) in patients with subserosal myoma with diameter with diameter>10cm. Methods: A total of 80 patients with subserosal fibroids with diameter>10cm in our hospital from November 2017 to November 2020 were selected and divided into routine group (39 cases) and observation group (41 cases) with random number table method. The conventional group was treated with traditional open procedure, and the observation group was treated with LAM assisted laparoscopy. The capillary diameter, blood perfusion and blood flow pattern integral of the 2 groups before and 1 and 7 days after surgery were detected. The operative time, intraoperative blood loss, postoperative exhaust time and length of hospital stay of the 2 groups were observed and recorded. The surgical treatment effect and postoperative complications were statistically analyzed. Results: The capillary diameter and blood perfusion of the two groups were lower than those of the two groups at 1 and 7 days after the operation, and the blood flow status and VAS scores were higher than those of the two groups before the operation. The difference was statistically significant (P<0.05); The capillary diameter and blood perfusion of the group were higher than those of the routine group at 1 and 7 days after the operation, and the blood flow status and VAS score were lower than those of the routine group at 1 and 7 days after the operation. The difference was statistically significant (P<0.05). The observation group's postoperative exhaust time, hospitalization length, intraoperative blood loss, postoperative pain disappearance time, and fibroids volume were lower than those of the conventional group, and the operation time and total effective rate of treatment were higher than those of the conventional group. The difference was statistically significant (P<0.05) Conclusion: Laparoscopic assisted LAM has a good therapeutic effect in the treatment of patients with subserosal myoma with diameter>10cm, which effectively alleviates the pain of patients and improves the local microcirculation function and surgical related indicators of patients.
|
|
|
|
|
|
[1] 蒋艳,黄文英,赵佩汝,等.西医联合活血化瘀治疗子宫肌瘤效果及对患者血清ER、Bcl-2蛋白影响[J].中国计划生育学杂志,2021,29(2):258~261.
[2] 林碧绿,彭幼,陈素文.宫腔镜子宫肌瘤电切术与传统手术治疗子宫肌瘤的效果比较[J].广东医学,2019,40(10):1447~1449,1453.
[3] 王璇,许莉,孙明霞,等.开腹手术与腹腔镜下子宫肌瘤剔除术对患者肌瘤复发、氧化应激及血清学创伤指标的影响[J].中国内镜杂志,2021,27(4):26~30.
[4] 实用妇产科学[M].第4版.中华医学信息导报,2018,33(15):10.
[5] 子宫肌瘤的诊治中国专家共识专家组.子宫肌瘤的诊治中国专家共识[J].中华妇产科杂志,2017,52(12):793~800.
[6] 张瑛瑜,陈芳.腹腔镜下子宫肌瘤剔除术和传统开腹手术的效果比较[J].实用癌症杂志,2016,31(8):1373~1375.
[7] 沈寿祥,王思亮,曹大徽.七氟醚和丙泊酚对行腹腔镜子宫肌瘤剔除术患者炎症因子及应激反应的影响[J].中国实验诊断学,2021,25(1):57~60.
[8] Asgari Z,Salehi F,Hoseini R,et al.Ultrasonographic features of uterine scar after laparoscopic and laparoscopy-assisted minilaparotomy myomectomy:a comparative study[J].Minim Invasive Gynecol,2020,27(1):148~154.
[9] MacKoul P,Baxi R,Danilyants N,et al.Laparoscopic-assisted myomectomy with bilateral uterine artery occlusion/ligation[J].Minim Invasive Gynecol.2019,26(5):856~864.
[10] MacKoul P,Danilyants N,Touchan F,et al.Laparoscopic-assisted myomectomy with uterine artery occlusion at a freestanding ambulatory surgery center:a case series[J].Gynecol Surg,2020,17(1):7. |
|
|
|
2022, Vol. 28 
