| 朱伟艳 胡庆兰 刘永珠 欧阳一兵 陈北秀 王尔矜.影响改良式腹腔镜下子宫肌瘤剔除相关因素分析[J].实用中西医结合临床,2013,(5):6-7,22 |
| 影响改良式腹腔镜下子宫肌瘤剔除相关因素分析 |
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| DOI： |
| 中文关键词: 改良式 腹腔镜 子宫肌瘤剔除 因素 |
| 英文关键词: Modified Laparoscopic Uterus myoma removaling Factor |
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| 中文摘要: |
| 目的：分析探讨改良式腹腔镜下子宫肌瘤剔除术的相关影响因素。方法：选择80例确诊为多发性子宫肌瘤的患者行改良式腹腔镜下子宫肌瘤剔除术，通过手术时间、肌瘤数、子宫大小、术后肌瘤残留率等指标分析影响剔除的相关因素。结果：甲组、乙组与丙组比较，术前B超肌瘤数目与术中实际肌瘤数目符合率高，术后肌瘤残留率低，P＜0.05，有统计学差异，甲组与乙组比较，无显著差异，P＞0.05，无统计学差异；B超肌瘤数目大于6个时，手术时间、出血量、肌瘤残留率与B超肌瘤数目小于6个时相比有显著差异，P＜0.05，有统计学差异；子宫大于等于孕12周时，出血量、肌瘤残留率与子宫小于孕12周时相比有显著差异，有统计学意义，P＜0.05；子宫大于等于孕12周时，手术时间与子宫小于孕12周以上时相比无显著差异，P＞0.05，无统计学意义。结论：术前B超医生的水平、子宫肌瘤的数目及子宫的大小是影响改良式腹腔镜下子宫肌瘤剔除术的主要因素。 |
| 英文摘要: |
| Objectives:To discuss and analyze modified laparoscopic myomectomy’s relevant influencing factors.Methods:Adopted modified laparoscopic myomectomy to reject these 50 cases of multiple myomata patients’ uterine fibroid,and then analyzed its relevant influencing factors through operation time,fibroid number,uterine size and postoperative fibroids residual rate these indexes.Results:Compared with the first group’s and the second group’s,the third group’s coincidence rate of preoperative B ultrasound fibroids number and intraoperative actual fibroids number was the highest,and its postoperative fibroids residual rate was the lowest,there were significant differences between these three groups,P<0.05,it had statistics meaning,while there was no obvious difference between the first group and the second group,P>0.05, it had no statistics meaning. When B ultrasound fibroids number was more than 6, operation time, bleeding volume and fibroids residual rate were significant different from the situation when B ultrasound fibroids number was fewer than 6,P<0.05,it has statistics meaning. When uterus was greater than or equal to 12 weeks of pregnancy, bleeding volume and fibroids residual rate were significant different from the situation when uterus was less than 12 weeks of pregnancy, P<0.05,it has statistics meaning. When uterus was greater than or equal to 12 weeks of pregnancy, operation time was no significant differences from the situation when uterus was less than 12 weeks of pregnancy, P>0.05,it has not statistics meaning.Conclusions:Preoperative B-ultrasound doctor’s quality,uterine fibroids number and uterine size are main influencing factors for modified laparoscopic myomectomy. |
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