Title: Effect of laparoscopic uterine vascular occlusion combined with uterine fibroid enucleation on patients with uterine fibroids
Abstract: Objective
To study the effects of laparoscopic hysteroscopy combined with hysteromyoma enucleation on the levels of follicle stimulating hormone (FSH), luteinizing hormone (LH), estradiol (E2) and progesterone (P) in patients.
Methods
Eighty-nine cases of uterine fibroids admitted to the First Hospital of Yuncheng from February 2015 to February 2017 were selected. The 89 patients were divided into 45 cases in research group and 44 cases in control group by random number table method. The control group was treated with laparoscopic myomectomy, and the research group was treated with laparoscopic uterine vascular occlusion combined with uterine myomectomy. All the patients in the two groups were followed up for 6 months. The operation indicators, preoperative and 3 months, 6 months after operation, the serum FSH, LH, E2, P level, returned to normal uterus and relapse, and the postoperative complications occurrence and transfer laparotomy of the two groups were compared.
Results
The amount of blood loss, operation time and hospitalization time in the study group were (81.48±12.85) ml, (87.25±15.28) min and (7.21±2.05) d respectively, which were significantly lower than those of the control group [(97.74±16.23) ml, (108.70±19.31) min and (8.89±2.24) d], and the differences were significant (P all 0.05). Three months after surgery, the FSH level of the study group was higher than that before surgery, while the E2 level was lower, and the differences were significant (P all 0.05). The team returned to normal uterus number accounting for 95.56% (43/45), which was significantly higher than that of the control group [81.82% (36/44)], and the number of recurrence ratio was 2.22% (1/45), which was significantly lower than that of the control group [13.64% (6/44)], the differences between the two groups were significant (P all 0.05).
Conclusions
Laparoscopic hysteromyoma combined with hysteromyoma enucleation in the treatment of uterine myoma can effectively reduce the amount of blood loss, shorten the operation time, and be beneficial to the recovery of the patients as soon as possible, and can effectively promote the recovery of the uterus and reduce the recurrence rate.
Key words:
Uterine fibroids; Uterine vascular occlusion; Uterine fibroids exenteration; Laparoscope; Endocrine hormone
Publication Year: 2018
Publication Date: 2018-09-25
Language: en
Type: article
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