机器人辅助与腹腔镜子宫肌瘤剔除术后剖宫产结局比较。
Comparison of cesarean delivery outcome after robotic and laparoscopic myomectomy.
机构信息
Department of Obstetrics and Gynecology, CHA Gangnam Medical Center, CHA University School of Medicine, Seoul, Republic of Korea.
Department of Obstetrics and Gynecology, CHA Ilsan Medical Center, CHA University School of Medicine, Goyang, South Korea.
出版信息
Taiwan J Obstet Gynecol. 2023 Jan;62(1):12-15. doi: 10.1016/j.tjog.2022.06.016.
OBJECTIVE
The aim of this study was to determine whether robotic myomectomy (RM) resulted in any measurable clinical improvement over laparoscopic myomectomy (LM) in subsequent cesarean delivery.
MATERIALS AND METHODS
The medical records of 273 patients who had undergone LM or RM followed by subsequent cesarean delivery for the period of September 2015 to December 2020 were retrospectively reviewed. The patients were divided into LM (n = 222) and RM (n = 51) groups. The cesarean delivery outcomes between the two groups were compared.
RESULTS
RM had significantly more myomas removed (6.0 ± 4.8 vs. 3.6 ± 3.5, p < 0.001) and a larger size of largest myoma (7.7 ± 2.4 vs. 6.1 ± 2.4, p = 0.002) at myomectomy compared with LM. However, there were no significant differences in the groups' surgical characteristics at cesarean section, in their pregnancy complications, or in adhesion formation.
CONCLUSIONS
Although more and larger myomas were removed in the RM group, RM showed similar cesarean delivery outcomes and adhesion formation to LM.
目的
本研究旨在确定机器人子宫肌瘤切除术（RM）与腹腔镜子宫肌瘤切除术（LM）相比，在随后的剖宫产中是否能带来任何可衡量的临床改善。
材料与方法
回顾性分析了 2015 年 9 月至 2020 年 12 月期间因 LM 或 RM 后继发剖宫产而接受治疗的 273 例患者的病历。患者被分为 LM（n=222）和 RM（n=51）组。比较两组剖宫产结局。
结果
RM 在子宫肌瘤切除术中切除的肌瘤数量明显更多（6.0±4.8 比 3.6±3.5，p<0.001），最大肌瘤的大小也更大（7.7±2.4 比 6.1±2.4，p=0.002）。然而，两组剖宫产手术特征、妊娠并发症或粘连形成方面无显著差异。
结论
尽管 RM 组切除的肌瘤更多、更大，但 RM 在剖宫产结局和粘连形成方面与 LM 相似。
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