摘要
目的探讨腹腔镜子宫肌瘤剔除术后即时阴道超声检查对降低肌瘤残留率的作用。方法2013年1月至2014年12月敦煌市医院收治并行腹腔镜下子宫肌瘤剔除术97例,其中50例于肌瘤剔除后行即时阴道超声检查(实验组),另47例未行即时阴道超声检查(对照组),观察肌瘤残留、手术时间、术中出血量、术后排气时间、住院时间及术后1年子宫肌瘤复发率。结果实验组术中发现11例有肌瘤残留,均为肌壁间肌瘤。两组手术时间、术中出血量、术后排气时间、住院时间均无明显差异(P>0.05)。术后1年子宫肌瘤复发率对照组明显高于实验组(P<0.05)。结论腹腔镜子宫剔除术中使用阴道超声探查能及时发现残留肌瘤,减少术后肌瘤复发率。
Objective To study the uterus myoma eliminating postoperative vaginal ultrasound found the fibroid residues and reduce the recurrence rate of the clinical application value.Methods Collected 97 patients of our hospital laparoscopic gynecologic oncology ward line fibroids weed out of,from January 2013 to December2013,including use of postoperative vaginal ultrasound for the experimental group（ n = 50）,postoperative vaginal ultrasound not used as the control group（ n = 47）,postoperative follow-up of one year.Results Two groups of operation time,intraoperative blood loss,postoperative exhaust time,length of hospital stay were no statistical difference,1 year follow-up group 1 case of recurrence,the control group and 1 case need treatment,8 cases of recurrence group recurrence rate significantly lower than the control group（ χ^2= 4.83,P〈0.05）,the experimental group were found in 11 cases with residual myoma,are all muscle intramural myoma.Conclusions Uterine out postoperative vaginal ultrasound can timely found the residual myoma,reduce the recurrence rate,the recommended in clinical use.
出处
《中国肿瘤外科杂志》
CAS
2016年第6期399-401,共3页
Chinese Journal of Surgical Oncology
关键词
腹腔镜
子宫肌瘤剔除术
阴道超声
术后残留
Laparoscope
Uterus myoma eliminating technique
Vaginal ultrasound
Rrecurrence
作者简介
第一作者／通讯作者：范捷，女，大专学历，主治医师，主要从事腹部肿瘤的术前术后超声研究，E—mail：fanjie331a@126．com
