42例经阴道子宫肌瘤剔除术临床观察

42 cases of vaginal myomectomy clinical observation

目的：分析和探讨阴式子宫肌瘤剔除术的临床效果和可行性。方法：我院阴式子宫肌瘤剔除术患者42例（阴式组）与同期行开腹子宫肌瘤剔除术的患者33例（开腹组）的临床资料进行对比。结果：两组患者的手术时间、剔除的肌瘤重量差异无显著性（P〉0．05），而手术出血量、肛门排气时间、术后体温、住院时间相比差异有显著性（P〈0．05）。两组随访结果比较，阴式组术后康复快，患者对手术效果更满意。结论：阴式子宫肌瘤剔除术，手术效率高、成本低，患者痛苦少，具有极强的可行性。

Objective To analyze and explore the vaginal myomectomy clinical effects and feasibility. Methods Patients＇clinical data of 42 cases conducted vaginal myomeetomy （ vaginal group） were compared with 33 patients conducted abdominal myomectomy in the same period （laparotomy group）. Results The difference of operative time, the weight of the fihroids between two groups was no significant （P 〉 0. 05 ）, while the amount of bleeding, anal exhaust time, postoperative body temperature and length of stay was significant difference （P 〈 0.05 ）. After compared the follow - up data of two groups, ti was found that recovery of vaginal group was rapid. Conclusion Vaginal myo- mectomy surgery was a high security, efficacy and feasible surgical method.