Xue Lifang, Wang Liying, Mu Xu, Xie Xiaoyan, Lin Kaiwu, Cai Liangzhi
Department of Gynecology, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou, China.
Department of Radiology, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou, China.
Gynecol Minim Invasive Ther. 2024 Jul 18;13(3):154-160. doi: 10.4103/gmit.gmit_15_23. eCollection 2024 Jul-Sep.
The objective of the study was to investigate the clinical value of pelvic diameter in the evaluation of surgical difficulty and selection of the best surgical plan for exogenous cervical leiomyomas.
Sixty-five patients with exogenous cervical leiomyomas admitted to our hospital from 2012 to 2021 were enrolled. All patients underwent pelvic magnetic resonance imaging examination before surgery and received surgical treatment within 1 week. Relevant clinical data were collected. According to the surgical approach, they were divided into two groups: the laparoscopic group and the laparotomy group. The clinical significance of the pelvic diameter line in the surgical selection of exogenous cervical leiomyomas was discussed by retrospective analysis of the correlation between the pelvic diameter line and the collected clinical indicators.
There was no significant difference in tumor location and pelvic diameter between the two groups ( > 0.05). However, there was a significant difference in tumor diameter and the ratio of tumor diameter line to pelvic diameter line ( < 0.05). In addition, the laparoscopic group underwent more myomectomy than hysterectomy and lost more blood during operation ( < 0.05). The postoperative index showed that patients in the laparotomy group had a higher proportion of full of cellular leiomyoma, higher postoperative temperature, and longer postoperative exhaust time ( < 0.05).
The ratio of the tumor diameter line to the pelvic diameter line is correlated with the surgical plan selection of exogenous cervical leiomyomas, which may be used to evaluate the surgical difficulty of these patients and the selection of the suitable surgical plan.
本研究旨在探讨盆腔径线在外源性宫颈平滑肌瘤手术难度评估及最佳手术方案选择中的临床价值。
选取2012年至2021年我院收治的65例外源性宫颈平滑肌瘤患者。所有患者术前均接受盆腔磁共振成像检查，并在1周内接受手术治疗。收集相关临床资料。根据手术方式，将其分为两组：腹腔镜组和开腹手术组。通过回顾性分析盆腔径线与收集的临床指标之间的相关性，探讨盆腔径线在外源性宫颈平滑肌瘤手术选择中的临床意义。
两组患者肿瘤位置及盆腔径线比较，差异无统计学意义（>0.05）。然而，两组患者肿瘤直径及肿瘤径线与盆腔径线比值比较，差异有统计学意义（<0.05）。此外，腹腔镜组肌瘤剔除术比例高于子宫切除术，术中出血量更多（<0.05）。术后指标显示，开腹手术组患者富于细胞性平滑肌瘤比例更高，术后体温更高，术后排气时间更长（<0.05）。
肿瘤径线与盆腔径线比值与外源性宫颈平滑肌瘤手术方案选择相关，可用于评估此类患者的手术难度及合适手术方案的选择。
