Lee Wen-Ling, Liu Wei-Min, Cheng Ming-Huei, Chao Hsiang-Tai, Fuh Jong-Ling, Wang Peng-Hui
Department of Medicine, Cheng-Hsin Rehabilitation Medical Center and Institute of Clinical Medicine, National Yang-Ming University School of Medicine, Taipei, Taiwan.
J Minim Invasive Gynecol. 2009 Sep-Oct;16(5):562-8. doi: 10.1016/j.jmig.2009.06.004.
To compare the difference between laparoscopic uterine vessel occlusion (LUVO) and ultra-minilaparotomy (UMLT) uterine vessel occlusion (UVO) in the management of symptomatic uterine myomas with 2-year follow-up.
Observational study (Canadian Task Force classification II-3).
University-associated hospital.
Ninety-one patients with symptomatic leiomyoma.
Uterine vessel occlusion via laparoscopy (n=51) or UMLT access (n=40).
Outcome was determined by comparing operative time, complications, successful operation rate, postoperative pain, time to resumption of a regular diet, time to return to work, 2-year symptom control, relapse of symptoms, and repeat intervention between both groups. There were no statistical differences in 2-year symptom control, relapse of symptoms, repeat intervention, surgical complications, and successful operation rate between the 2 groups; however, LUVO yielded shorter operative time, less operative pain, shorter time to resumption of a regular diet, and earlier return to work, compared with UMLT-UVO.
If UVO is chosen for management of symptomatic uterine myoma, both the LUVO and UMLT are acceptable options, with similar therapeutic outcomes; however, LUVO might yield more rapid postoperative recovery.
比较腹腔镜子宫血管阻断术（LUVO）与超小切口剖腹术（UMLT）子宫血管阻断术（UVO）治疗有症状子宫肌瘤并进行2年随访的差异。
观察性研究（加拿大工作组分类II - 3）。
大学附属医院。
91例有症状的平滑肌瘤患者。
通过腹腔镜进行子宫血管阻断术（n = 51）或通过超小切口剖腹术进行子宫血管阻断术（n = 40）。
通过比较两组的手术时间、并发症、手术成功率、术后疼痛、恢复正常饮食时间、恢复工作时间、2年症状控制情况、症状复发情况及再次干预情况来确定结果。两组在2年症状控制、症状复发、再次干预、手术并发症及手术成功率方面无统计学差异；然而，与超小切口剖腹术子宫血管阻断术相比，腹腔镜子宫血管阻断术的手术时间更短、手术疼痛更少、恢复正常饮食时间更短且恢复工作更早。
如果选择子宫血管阻断术治疗有症状的子宫肌瘤，腹腔镜子宫血管阻断术和超小切口剖腹术都是可接受的选择，治疗效果相似；然而，腹腔镜子宫血管阻断术可能使术后恢复更快。
