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  • 艾贵海,罗 宁,李 月,等.腹腔镜下子宫动脉阻断联合盆丛神经子宫支阻断术在子宫腺肌病中的应用[J].同济大学学报(医学版),2019,30(3):326-330.    [点击复制]
  • AI Gui-hai,LUO Ning,LI Yue,et al.Application of uterine artery occlusion combined with pelvic plexus uterine branch block in laparoscopic partial excision of adenomyosis[J].同济大学学报(医学版),2019,30(3):326-330.   [点击复制]
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腹腔镜下子宫动脉阻断联合盆丛神经子宫支阻断术在子宫腺肌病中的应用
艾贵海,罗宁,李月,丁璐,成佳景,程忠平
0
(同济大学附属第十人民医院妇产科,上海 200072)
摘要:
目的 评价腹腔镜下子宫动脉阻断联合盆丛神经子宫支阻断术在子宫腺肌病中应用的临床疗效及其安全性。方法 选取2017年7月至2018年9月同济大学附属第十人民医院73例行腹腔镜下子宫腺肌病病灶部分切除术,以及子宫动脉阻断联合盆丛神经子宫支阻断术的患者作为治疗组;选取2015年1月至2017年6月我院62例行腹腔镜下子宫腺肌病病灶部分切除术患者为对照组;两组患者术后连续使用促性腺激素释放激素类似物3个疗程,比较2组患者围手术期情况及术后疗效。结果 2组患者术中、术后均未出现明显并发症;相对于对照组,治疗组手术难度大,但患者术后痛经缓解、月经量改善、子宫体积控制明显,差异有统计学意义(P<0.05)。结论 腹腔镜下子宫动脉阻断联合盆丛神经子宫支阻断术治疗子宫腺肌病安全、可靠,临床疗效优于对照组,作为一种微创手术方式可在临床推广应用。
关键词:  子宫腺肌病  子宫动脉阻断术  盆丛  痛经
DOI:10.16118/j.1008-0392.2019.03.012
投稿时间:2019-01-18
基金项目:
Application of uterine artery occlusion combined with pelvic plexus uterine branch block in laparoscopic partial excision of adenomyosis
AI Gui-hai,LUO Ning,LI Yue,DING Lu,CHENG Jia-jing,CHENG Zhong-ping
(Dept. of Obstetrics and Gynecology, Tenth People’s Hospital, Tongji University, Shanghai 200072, China)
Abstract:
Objective To evaluate the clinical efficacy and safety of uterine artery occlusion combined with pelvic plexus uterine branch block in laparoscopic partial excision of adenomyosis. Methods Seventy three patients underwent laparoscopic partial excision of adenomyosis, with uterine artery occlusion and pelvic plexus uterine branch block in Tenth People’s Hospital Tongji University, from July 2017 to September 2018 (study group); while 62 patients underwent conventional laparoscopic partial excision of adenomyosis from January 2015 to June 2017 (control group). All the patients were treated with three courses of GnRHa after operation. The status of perioperative period and clinical efficacy were compared between two groups. Results There were no perioperative complications in two groups. Compared with control group, the study group had higher difficulty and longer time in operation, however, had fewer bleeding, better alleviation of dysmenorrhea, fewer menstrual volume and smaller uterine volume. Conclusion The application of uterine artery occlusion combined with pelvic plexus uterine branch block in laparoscopic partial excision of adenomyosis can improve the operational outcomes with safety.
Key words:  adenomyosis  uterine artery occlusion  pelvic plexus  dysmenorrhea

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