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| Effects comparison between the uterine arterial occlusion and preoperative application of small dosage of Triptorelin in laparoscopic resection of adenomyosis |
| GUO Hong1 WU Jun2 XU Mengjiao1 ZHANG Lina1 WANG Jianjun1 TONG Xiaowen1▲ |
1.Department of Obstetrics and Gynecology, Tongji Hospital, Tongji University, Shanghai 200065, China;
2.Department of Obstetrics and Gynecology, the First People Hospital, Hubei Province, Tianmen 431700, China |
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Abstract Objective To analyze the difference of the clinical effects of laparoscopic adenomyosis resection combined with small-dose Triptorelin injected subcutaneously before operation and intraoperative uterine artery occlusion. Methods From January 2014 to October 2016, patients with adenomyosis who underwent laparoscopic resection in Tongji Hospital, Tongji University were divided into two groups according to intraoperative uterine artery ligation (group A, n = 40) and preoperative use of small-dose Triptorelin group B, n=30), and then the differences of surgery time, blood loss in surgery, intestinal function, postoperative complications, length of stay, hemoglobin change of preoperative and postoperative, potassium concentration of postoperative and hospitalization costs were compared between the two groups. Results There were no significant differences in length of stay, potassium concentration of postoperation and hemoglobin concentration of preoperation and postoperation between the two groups (P > 0.05). Compared with group A, the surgery time was shorter, intraoperative blood loss was less, and recovery time of intestinal function was shorter in group B, but the hospitalization costs was higher, the differences were all statistically significant (P < 0.05). Conclusion Compared with laparoscopic uterine resection combined with intraoperative uterine artery occlusion, preoperative use of small-dose Triptorelin has shorter surgery time, faster recovery of intestinal function, relatively smaller amount of bleeding, and is safer and more effective, so it is worthy of clinical application.
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