腹腔镜辅助下阴式子宫肌瘤剔除术和单纯经阴道子宫肌瘤剔除术的比较

Compare of the transvaginal myomectomy between laparoscopic aid and no laparoscopic aid

目的 探讨运用腹腔镜技术在阴式子宫肌瘤剔除术中的临床效果。方法 回顾性分析2004年5月-2006年5月腹腔镜辅助下阴式子宫肌瘤剔除术（腹腔镜辅助组）28例和非腹腔镜辅助的阴式子宫肌瘤剔除术（阴式组）35例的临床资料。结果 剔除肌瘤最大径：腹腔镜辅助组（5．48±1．58）cm、阴式组（4．88±1．96）cm，P〉0．05。术中出血量：腹腔镜辅助组（135．18±60．15）ml，阴式组（105．14±49．84）ml，P〈0．05。手术时间：腹腔镜辅助组（109．63±24．49）min，阴式组（59．74±30．58）min，P〈0．01。术后发热率：腹腔镜辅助组14．81％，阴式组48．57％，P〈0．01。结论 腹腔镜辅助下阴式子宫肌瘤剔除术是一种微创伤、安全、有效的手术方法，术后发热率比非腹腔镜辅助的阴式子宫肌瘤剔除术低。

Objective To investigate the clinical effectiveness of laparoscopic aid technique in the transvaginal myomectomy. Methods From May 2004 to May 2006,28 women were subjected to laparoscopic aid transvaginal myomectomy （group LATVM）,in the meantime,35 women were subjected to no laparoscopic aid transvaginal myomectomy （group TVM）. The clinical data of all the patients were reviewed. Results The mean biggest diameter of the excised leiomyoma in group LATVM and group TVM were （5.48 ± 1.58） cm and （4.88 ± 1.96） cm,P〉 0.05. The mean blood loss during operation in group LATVM and group TVM were （ 135.18 ± 60.15） ml and （ 105.14 ± 49.84） ml,P 〈 0.05. The mean operation time in group LATVM and group TVM were （109.63 ±24.49） min and （59.74 ± 30.58） min,P〈 0.01. The incidence of febrile morbidity in group LATVM and group TVM were 14.81% and 48.57%, P 〈 0.01. Conclusions Laparoscopic aid transvaginal myomectomy is a less ravage, safe and effectual technique. There is a lower incidence of febrile morbidity in group LATVM than that in group TVM.