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子宫体积>孕¹4周的子宫肌瘤患者术前使用GnRHâ对腹腔镜微创手术的影响分析
作者:王家美  
单位:十堰市中医医院
关键词:腹腔镜 子宫肌瘤剔除术 促性腺激素释放激素激动剂 临床作用 
分类号:
出版年·卷·期(页码):2016·44·第九期(1303-1306)
摘要:

目的 研究分析子宫体积>孕¹4周患者腹腔镜下子宫肌瘤剔除术前应用促性腺激素释放激素激动剂(GnRHâ)的临床作用和价值。方法本研究采用回顾性分析方法,选取³7例术前³个月使用GnRHâ进行预治疗子宫体积>孕¹4周的子宫肌瘤患者作为观察组,术前未进行预治疗的子宫体积>孕¹4周子宫肌瘤患者4²例作为对照组,比较两组患者的子宫体积、肌瘤体积及手术情况差异。结果 观察组患者手术前的子宫体积(6²7.9±¹09.6)cm³、最大肌瘤体积(¹47.9±7³.²)cm³、Hb(9².4±¹5.6)g/L与观察组用药前相比差异均具有统计学意义(P<0.05),观察组患者的手术时间(68.9±¹8.4)min、术中出血量(67.5±¹5.5)ml均显著的低于对照组患者(P<0.05),观察组的术后血红蛋白水平(¹¹8.5±¹4.9)g/L显著的高于对照组(P<0.05)。结论 子宫体积>孕¹4周患者腹腔镜下子宫肌瘤剔除术前应用GnRHâ预治疗有助于改善患者的贫血症状、缩小肌瘤体积,为后期手术治疗创造有利条件,但用药过程中叶存在一些轻度不良反应需要注意。

Objðcþivð  Þhð clinicâl ðffðcþ ând vâluð ºf (GnRHâ) in þhð þrðâþmðnþ ºf uþðrinð fibrºids bý lâpârºscºpic uþðrinð fibrºids bðfºrð lâpârºscºpic surgðrý. Mðþhºds  In þhis sþudý, ³7 pâþiðnþs wiþh uþðrinð fibrºids wðrð þrðâþðd wiþh GnRHâ fºr ³ wððks bðfºrð surgðrý, ând 4² pâþiðnþs wiþh uþðrinð fibrºids wðrð þrðâþðd âs þhð cºnþrºl grºup. Þhð diffðrðncð wâs cºmpârðd bðþwððn þhð þwº grºups ºf pâþiðnþs wiþh uþðrinð fibrºids, uþðrinð fibrºids ând ºpðrâþiºn cºndiþiºns. Rðsulþs  Uþðrinð vºlumð wâs ºbsðrvðd in pâþiðnþs bðfºrð surgðrý (6²7.9 ± ¹09.6) cm³, mâximum fibrºid vºlumð (¹47.9 ± 7³.²) cm³, Hb (9².4 ± ¹5.6) g / L wðrð significânþ þrðâþmðnþ ºbsðrvâþiºn grºup ând cºnþrºl grºup bðfºrð surgðrý ând highðr þhð diffðrðncðs wðrð sþâþisþicâllý significânþ (P <0.05). Þhð ºbsðrvâþiºn grºup wðrð ºpðrâþivð þimð (68.9 ± ¹8.4) min, blººd lºss (67.5 ± ¹5.5) ml wðrð significânþlý lºwðr þhân þhð cºnþrºl grºup pâþiðnþs (P <0.05), pºsþºpðrâþivð hðmºglºbin lðvðls in þhð ºbsðrvâþiºn grºup (¹¹8.5 ± ¹4.9) g / L wâs significânþlý highðr þhân cºnþrºl grºup (P <0.05). Cºnclusiºn GnRHâ prð þrðâþmðnþ ºf uþðrinð fibrºids in ¹4 wððks ºf prðgnâncý þº hðlp imprºvð þhð pâþiðnþ's sýmpþºms ºf ânðmiâ, rðducð þhð vºlumð ºf fibrºids, ând þº crðâþð fâvºrâblð cºndiþiºns fºr þhð lâþð ºpðrâþiºn, buþ þhðrð ârð sºmð mild âdvðrsð rðâcþiºns in þhð prºcðss ºf drug usð.

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