论文部分内容阅读
目的比较卡孕栓与米非司酮在腹腔镜下子宫肌瘤切除术中的应用效果。方法选取2014年6月—2015年9月邓州市妇幼保健院收治的行腹腔镜下子宫肌瘤切除术患者87例,随机分为卡孕栓组、米非司酮组和对照组,各29例。卡孕栓组予以卡孕栓治疗,米非司酮予以米非司酮治疗,对照组予以常规治疗。观察3组患者手术时间、术中出血量、血红蛋白差值及不良反应发生情况。结果卡孕栓组、米非司酮组手术时间短于对照组,术中出血量少于对照组,血红蛋白差值小于对照组,差异有统计学意义(P<0.05)。卡孕栓组和米非司酮组手术时间、术中出血量、血红蛋白差值比较,差异无统计学意义(P>0.05)。孕栓组不良反应发生率低于米非司酮组,差异有统计学意义(P<0.05)。结论卡孕栓与米非司酮在腹腔镜下子宫肌瘤切除术中应用效果确切,均能有效减少术中出血量,但卡孕栓较米非司酮不良反应少,安全性高。
Objective To compare the effect of carboplatin and mifepristone in laparoscopic myomectomy. Methods A total of 87 patients underwent laparoscopic myomectomy from June 2014 to September 2015 in Dengzhou Maternal and Child Health Hospital were randomly divided into carbamazepine group, mifepristone group and control group 29 cases. Kaposi suppository group was treated with carboplatin, mifepristone was treated with mifepristone, and the control group was routinely treated. The operation time, intraoperative blood loss, hemoglobin difference and adverse reactions in the three groups were observed. Results The duration of operation in the Kapok group and the mifepristone group was shorter than that in the control group. The blood loss during operation was less than that of the control group, and the difference of hemoglobin was smaller than that of the control group. The difference was statistically significant (P <0.05). There was no significant difference in the operation time, intraoperative blood loss and hemoglobin between the cardiopulmonary arrest group and the mifepristone group (P> 0.05). Adiponectin group adverse reaction rate was lower than mifepristone group, the difference was statistically significant (P <0.05). Conclusions Kapusi suppository and mifepristone are effective in laparoscopic myomectomy, all of which can effectively reduce the amount of intraoperative bleeding. However, carbamazepine has less side effects and higher safety than mifepristone.