Laparoscopic transient uterine artery occlusion and myomectomy for symptomatic uterine myoma  

Oleh:

Liu, Lubin ; Yuyan, Li ; Huicheng, Xu ; Yong, Cheng ; Guangjin, Zhang ; Zhiqing, Liang

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Fertility and Sterility (keterangan: ada di ClinicalKey) vol. 95 no. 01 (Jan. 2011), page 254-258 .
Topik: Uterine myoma; transient uterine arterial occlusion; myomectomy; laparoscopy

Ketersediaan

Perpustakaan FK Nomor Panggil: F02.K.2011.02 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

Lihat Detail Induk

Isi artikel

Objective To compare clinical outcomes of laparoscopic transient uterine artery ligation plus myomectomy (LTUAL) to simple laparoscopic myomectomy (LM) for symptomatic myomas. Design Comparative observational study. Setting Medical centers. Patient(s) One hundred sixty-seven patients with symptomatic myomas. Intervention(s) Eighty-four patients underwent LTUAL and LM; 83 patients underwent LM only. Main Outcome Measure(s) Operative time, blood loss, gonadal hormone level, uterine artery resistance index, menorrhea, pregnancy rate, and recurrence rate of myoma. Result(s) The intraoperative blood loss in the LTUAL group was lower than in the LM group. The menstrual blood volume (MBV) and the menstrual period of the LTUAO group was unchanged after operation relative to the prediseased volume. No significant difference was found in the resistance index of the uterine artery blood flow, the recurrence rate, and the fertility rate between the LTUAL and LM groups. Conclusion(s) LTUAL and LM are a promising surgical treatment for symptomatic uterine myoma and did not produce any appreciable adverse effect on fertility.

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