阴式子宫肌瘤剔除术的临床价值及分析

Clinical value and analysis of vaginal myomectomy

目的:探讨阴式子宫肌瘤剥除术的临床价值。方法:将62例子宫肌瘤患者随机分为两组,阴式手术组31例采用经阴道子宫肌瘤剥除术,剖腹手术组31例采用剖腹子宫肌瘤剥除术,比较两组手术时间、术后病率、住院时间、术后复发、术后肠道功能恢复时间、术后镇痛与妊娠情况等。结果:阴式手术组手术时间为(60.0±20.1)min,较剖腹手术组的(80.0±24.9)min缩短(P<0.05);术后住院时间为(5.0±1.5)d,较剖腹手术组的(8.0±2.5)d缩短(P<0.05);术后病率及复发两组比较,无显著性差异(P>0.05)。术中出血量阴式手术组为(75±15)ml,剖腹手术组为(120±15)ml,两组比较,有显著性差异(P<0.05)。术后镇痛阴式手术组20例较少于剖腹手术组的32例(P<0.05)。全部病例术后随访6～36个月,平均21个月,术后肠道功能恢复时间阴式手术组为(24.0±4.2)h,较剖腹手术组(46.0±2.1)h显著缩短(P<0.05)。结论:阴式子宫肌瘤剥除术与剖腹手术效果相同,但更具微创,出血量少,住院时间缩短,肠道功能恢复快,术后伤口疼痛少,值得临床应用。

Objective:To study the clinical value of vaginal myomectomy.Methods:62 cases of patients with uterine fibroids were randomly divided into two groups,31 cases in vaginal surgery group and 31 patients with abdominal surgery (abdomi nal surgery group).The operation time,morbidity of postoperative,length of stay,recurrence,postoperative intestinal func tion recovery time,postoperative pain and pregnancy were compared in the two groups.Results:The operation time in the vaginal surgery group was (60.0±20.1) min,which was shorter than (80.0±24.9) min of the abdominal surgery group (P0.05).There was a significant difference about the amount of bleeding in the vaginal surgery group (75±15) ml and abdominal surgery group (120±15) ml (P<0.05).Postoperative pain was a significant difference in the vaginal surgery group (20) and abdominal surgery group (32) (P<0.05).It was required to follow up all cases 6-36 months,average of 21 months,in the postoperative intestinal function recovery time,there was a significant difference in the vaginal surgery group (24.0±4.2) h and abdominal surgery group (46.0±2.1) h (P<0.05).Conclusion:Vaginal myomectomy has the same effect with abdominal surgery,but more invasive,less bleeding time,shorter length of stay,intestinal function recovery faster,less postoperative pain,it’s worthy of clinical application.