Clinical Value Of Pituitrin Combined With Cervical Ligation In Laparoscopic Subtotal Hysterectomy

Objective:To evaluate the clinical value of pituitrin combined with cervical ligation in laparoscopic subtotal hysterectomy.Method:Totally 249 cases on which laparoscopic subtotal hysterectomy were performed in Shengjing hospital of China Medical University between January 2014 to January2019,were divided into 3 groups.The routine group of 73 cases(group A): removed parauterine tissue and open peritoneal fold of bladder and rectum,then electrocoagulate uterine artery and vein beside cervix;The cervical ligation group of 83 cases(group B):ligated uterine artery and vein in the middle of the baring cervix with Roeder’s coil made by absorbable line;The pituitrin combined with cervical ligation group of 93 cases(group C): 6 U pituitrin diluted with 20 ml normal saline was injected into the uterus,after the contraction of the blood vessels of the uterus,the operation was performed according to group B.The operative time,operative blood loss,postoperative exhaust time,postoperative total peritoneal drainage and postoperative hemoglobin decrease were observed and compared between 3 groups.Results : The operative time,operative blood loss,postoperative exhaust time,postoperative total peritoneal drainage and postoperative hemoglobin decrease in group B and group C were lower than those in group A,the operative blood loss and postoperative hemoglobin decrease in group C were lower than those in group B,the differences were all statistically significant(P<0.05).The operative time,postoperative exhaust time and postoperative total peritoneal drainage between group B and group C were not statistically significant(P>0.05).Totally 249 patients in 3 groups were followed up for three months,all patients recovered well.Conclusion:The laparoscopic subtotal hysterectomy with pituitrin and cervical ligation can not only shorten the operative time,reduce operative blood loss and accelerated recovery of patients,but also simplify the complicated operation,make the high-risk operation safely and effectively avoid the occurrence of various accessory injury,which is worth popularizing.