Department of Obstetrics and Gynecology, School of Medicine, Kyungpook National University Hospital, Daegu, South Korea.
Fertil Steril. 2011 Feb;95(2):775-8. doi: 10.1016/j.fertnstert.2010.07.1079.
To determine the impact of uterine artery ligation in laparoscopic myomectomy, according to surgical results and clinical outcomes.
Single-center, nonrandomized, comparative study.
University hospital, tertiary referral center.
PATIENT(S): Ninety women undergoing laparoscopic myomectomy.
INTERVENTION(S): Laparoscopic myomectomy with or without uterine artery ligation.
MAIN OUTCOME MEASURE(S): Surgical results and clinical outcomes.
RESULT(S): Fifty-one patients (56.6%) underwent laparoscopic myomectomy with uterine artery ligation (group A), and 39 patients (43.3%) underwent laparoscopic myomectomy alone (group B). The mean operating time was 100.0 ± 33.8 minutes in group A and 90.0 ± 37.1 minutes in group B. Both groups were similar with respect to mean blood loss (72.3 ± 109.0 mL vs. 62.6 ± 77.3 mL). The myoma recurrence rate in group A was significantly less than in group B after a median follow-up period of 11.1 months (2% vs. 13%).
CONCLUSION(S): Both groups were similar with respect to surgical results. However, the recurrence rate was significantly lower in group A compared with group B.
根据手术结果和临床结果，确定腹腔镜子宫肌瘤剔除术中子宫动脉结扎的影响。
单中心、非随机、对照研究。
大学医院，三级转诊中心。
90 名接受腹腔镜子宫肌瘤剔除术的妇女。
腹腔镜子宫肌瘤剔除术联合或不联合子宫动脉结扎。
手术结果和临床结果。
51 例患者（56.6%）行腹腔镜子宫肌瘤剔除术联合子宫动脉结扎（A 组），39 例患者（43.3%）行单纯腹腔镜子宫肌瘤剔除术（B 组）。A 组的平均手术时间为 100.0±33.8 分钟，B 组为 90.0±37.1 分钟。两组的平均出血量（72.3±109.0mL 比 62.6±77.3mL）相似。在中位随访 11.1 个月后，A 组的肌瘤复发率明显低于 B 组（2%比 13%）。
两组在手术结果方面相似。然而，A 组的复发率明显低于 B 组。
