两种子宫肌瘤挖除术临床比较

Comparison of the clinical efficacy in uterine myoma by two methods

目的 评价阴式与腹式子宫肌瘤挖除术的临床效果。方法 行阴式子宫肌瘤挖除术的患者30例（阴式组），与同期行腹式子宫肌瘤挖除术的30例（腹式组）进行比较，评价两组的临床效果。结果 两组出血量的差异无统计学意义（P〉0．05），阴式组的手术时间、术后住院时间及术后排气时间明显短于腹式组（P〈0．05）。结论 阴式子宫肌瘤挖除术优点多，值得临床推广。

Objective To assessand compare the clinical efficacy of vaginal and abdominal myomectomy for uterine myoma. Methods 30 patients with uterine myomas who received vaginal myomectomies were assessed, 30 cases who received routine abdominal myomectomies during the same period were taken as controls. The differences of clinical efficacy were analyzed. Results There was no significant difference of blood loss between the two groups （P 〉 0.05）. However,the operation duration,the duration of hospitalization after operation and flatus from anus in the＇vaginal myomectomy group were significantly shorter than those in the abdominal myomectomy groups （P 〈 0.05）. Conclusion Vaginal myomectomy has some advantages over abdominal myomectomy, worthy to be recommanded.