Raba Grzegorz, Kotarski Jan, Szczupak Kamil, Obloza Beata, Fudali-Walczak Magdalena
a 1 Institute of Obstetrics and Medical Lifesaving of the University of Rzeszow , Rzeszow, Poland.
b 2 Medical University of Lublin , Lublin, Poland.
Minim Invasive Ther Allied Technol. 2016;25(1):43-7. doi: 10.3109/13645706.2015.1075558. Epub 2015 Aug 28.
The surgery of fibroid removal and reconstruction of the uterus is associated with increased blood loss. That is a significant limitation of surgical myomectomy. There are many methods to decrease blood loss during myomectomy. However, in women planning to conceive their reversibility is important. The procedure of uterus banding with the Osada method meets this condition. The objective of this study was a comparison of intraoperative blood loss during the myomectomy with banding according to the Osada technique with blood loss during a classic myomectomy with the Martin method.
The study group consisted of 140 women with myomatous uterus. In 70 patients myomectomy was performed with the Osada uterus banding method, for the remaining 70 patients the Martin method was applied.
Myomectomy with banding according to the Osada method versus myomectomy with the Martin method: intraoperative blood loss (ml): 56 ± 23 vs 378 ± 186, p < 0.05; a drop in hematocrit levels over 24 hours postoperatively (%): 0.32 ± 0.12 vs 3.42 ± 2.54, p < 0.05; a drop in hemoglobin concentration over 24 hours postoperatively (g/dl): 0.13 ± 0.04 vs 0.79 ± 0.38, p < 0.05. the need for blood transfusion (% of women): 0 vs 4.28, p < 0.05.
Myomectomy performed according to the Osada method of uterus banding is associated with less intraoperative blood loss.
子宫肌瘤切除及子宫重建手术会导致出血量增加。这是手术切除肌瘤的一个重大限制。有许多方法可减少肌瘤切除术中的出血量。然而，对于计划怀孕的女性而言，方法的可逆性很重要。使用小田法进行子宫束带术符合这一条件。本研究的目的是比较采用小田技术进行束带肌瘤切除术时的术中出血量与采用马丁法进行经典肌瘤切除术时的出血量。
研究组由140例子宫肌瘤患者组成。70例患者采用小田子宫束带法进行肌瘤切除术，其余70例患者采用马丁法。
小田法束带肌瘤切除术与马丁法肌瘤切除术对比：术中出血量（毫升）：56±23 对比 378±186，p<0.05；术后24小时血细胞比容水平下降幅度（%）：0.32±0.12 对比 3.42±2.54，p<0.05；术后24小时血红蛋白浓度下降幅度（克/分升）：0.13±0.04 对比 0.79±0.38，p<0.05。输血需求（女性比例）：0对比4.28，p<0.05。
采用小田子宫束带法进行肌瘤切除术术中出血量较少。
