经阴道与经腹子宫肌瘤剔除术的对比分析

A Comparison between Vaginal and Abdominal Myomectomy

目的探讨经阴道子宫肌瘤剔除术的可行性及安全性。方法60例子宫肌瘤患者分别实施经阴道子宫肌瘤剔除术(研究组,n=30)及经腹子宫肌瘤剔除术(对照组,n=30),比较2组手术效果和术后恢复情况。结果2组手术时间、术中出血量比较差异均无统计学意义(P>0.05);而研究组术后肛门排气时间、术后住院时间均明显短于对照组(P<0.05),研究组术后病率、术后镇痛率少于对照组(P<0.05)。2组患者术后平均随访5.8个月,因月经过多手术者,症状全部改善;研究组较对照组患者术后康复快,对手术效果更满意。结论经阴道子宫肌瘤剔除术腹壁无手术瘢痕、创伤小、恢复快,只要正确把握手术的适应证,并有一定的阴式手术经验,此术式是安全可行的。

Objective To evaluate the feasibility and safety of vaginal myomectomy. Methods A total of 60 patients with uterine leiomyoma were performed either vaginal myomectomy a （study group,n=30） or abdominal myomectomy （control group,n=30）. Clinical outcomes of the two groups were compared. Results There had no significant differences in the mean operating time and intraoperative blood bloss between two groups （P〉0.05）. The mean recovery time of bowel function and postoperative hospital stay of study group were significant shorter than those of control group （P〈0.05）,postoperative morbidity and postoperative pain in study group was significant less than control group （P〈0.05）. Menorrhagia were relieved in all patients after 5.8 months follow-up. Compared with control group, patients in study group recovered more rapidly and felt more satisfactory with the clinical effect. Conclusions Vaginal myomectomy has the ad- vantage of no abdominal scar,little invasion and quick recovery, being a safe and feasible minimally option for uterine leiomyoma.