| 王书平,桑学梅,吴 霞,刘 艳,王燕君.保留假包膜对宫腔镜下粘膜下子宫肌瘤切除术后瘢痕区血流灌注的影响[J].,2019,19(10):1958-1961 |
| 保留假包膜对宫腔镜下粘膜下子宫肌瘤切除术后瘢痕区血流灌注的影响 |
| Effect of Retained Pseudocapsule on the Blood Perfusion in the Scar Area after Hysteroscopic Submucosal Myomectomy |
| 投稿时间：2018-12-06 修订日期：2018-12-28 |
| DOI：10.13241/j.cnki.pmb.2019.10.033 |
| 中文关键词: 假包膜 子宫肌瘤切除术 瘢痕区血流灌注 |
| 英文关键词: Pseudocapsule Hysteroscopic submucosal myomectomy Blood perfusion |
| 基金项目:安徽省科技厅基金项目(1704f0804050) |
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| 中文摘要: |
| 摘要 目的：探究在宫腔镜下粘膜下子宫肌瘤切除术中保留假包膜对术后瘢痕区血流灌注的影响。方法：选取2016年8月~2018年9月我院收治的子宫肌瘤患者80例为研究对象，根据随机数字表法将患者分为两组，对照组患者40例在手术过程中不保留假包膜，观察组患者40例在手术过程中保留假包膜。比较两组患者手术相关指标(手术时间、术中出血量、排气时间和下床活动时间)、术后瘢痕变化情况、瘢痕区域的血流灌注情况及并发症的发生情况。结果：两组患者的手术时间、术中出血量、排气时间和下床活动时间相比均无统计学差异(P＞0.05)。随着术后时间的推移，两组患者的瘢痕区逐渐缩小，且观察组患者的瘢痕愈合程度高于对照组(P＜0.05)。观察组患者术后的血管指数(VI)、血流指数(FI)和血管化血流指数(VFI)值均显著低于对照组(P＜0.05)。两组患者的并发症发生率比较无统计学差异(P＞0.05)。结论：在宫腔镜下粘膜下子宫肌瘤切除术中保留假包膜与不保留假包膜的手术效果相当，但保留假包膜可显著改善患者瘢痕区域的血流灌注，促进创面愈合，且不增加并发症的发生率。 |
| 英文摘要: |
| ABSTRACT Objective: To explore the effect of retained pseudocapsule on the postoperative blood perfusion in the scar area after hysteroscopic submucosal myomectomy. Methods: 80 cases of uterine myomas patients admitted to our hospital from August 2016 to September 2018 were selected as the study objects. The patients were divided into two groups according to the random number table method. 40 cases in the control group did not retain pseudocapsule during the operation, and 40 cases in the observation group retained pseudocapsule during the operation. The surgical related indicators (operation time, peroperative bleeding, exhaust time and time to get out of bed), changes of postoperative scar, blood perfusion in the scar areas and incidence of complications were compared between two groups. Results: There was no statistically significant difference between the two groups in the operation time, peroperative bleeding, exhaust time and time to get out of bed(P>0.05). As the postoperative time went on, the scar area of both groups of patients were decreased successively, and the wound healing degree of observation group was higher than that of the control group (P<0.05). The VI, FI and VFI values of patients in the observation group were significantly lower than those of the control group (P<0.05). There was no significant difference in the incidence of complications between the two groups (P>0.05). Conclusion: In hysteroscopic submucosal myomectomy, the operation effect of retaining pseudocapsule is comparable to that of not retaining psedocapsule, but the pseudocapsule can significantly improve the blood perfusion in the scar area of the patient, promote wound healing, and not increase the incidence of complications. |
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