摘要
目的比较3种子宫肌瘤剔除术的临床效果和安全性。方法子宫肌瘤剔除术180例按手术方法不同分成3组:开腹子宫肌瘤术(TAM)60例、腹腔镜下子宫肌瘤剔除术(LM)60例和阴式子宫肌瘤剔除术(TVM)60例,比较手术效果和术后恢复情况。结果 TVM手术时间(69.58±26.72)min、TAM(88.93±31.07)均小于LM(115.63±35.12)min(t=2.345,t=2.241,P<0.05);TVM组术中出血量(100.33±87.04)mL均小于LM(143.31±141.42)、TAM(149.29±132.72)mL(t=2.235,t=2.241,P<0.05);TAM肛门排气时间(46.33±14.89)h均大于LM(38.23±10.22)、TVM(29.51±7.86)h(t=2.275,t=2.341,P<0.05);TAM术后体温恢复正常时间(2.01±1.49)d均大于LM(1.87±1.0)、TVM(1.75±1.62)d(t=2.315,t=2.341,P<0.05);TAM术后住院时间(8.12±1.46)d均大于LM(7.12±1.65)、TVM(6.35±1.27)d(t=2.375,t=2.441,P<0.05)。结论阴式子宫肌瘤剔除术安全、有效、创伤小,术后疼痛轻,并发症少,恢复快,是一种值得推广的微创手术。
Objective To compare clinical efficacy and safety of. three kinds vaginal myomectomy. Methods 180 cases of uterine myomectomy according to the different surgical methods were divided into 3 groups: 60 cases with transabdominal myomectomy (TAM), 60 cases with laparoscopic myomectomy(LM) and 60 cases with transvaginal myemectomy(TVM), to compare the effects of operation and recovery. Results The operative time(69.58 ± 26.72)min in TVM and (88.93±31.07)min in TAM were less than (115.63±35.12) in LM(t=2.345, t=2.241, P0.05); The blood loss (100.33 ± 87.04)mL in TAM were less than the(143.31±141.42)mL in LM and (149.29 ± 132.72)mL in TAM (t=2.235, t=2.241, P0.05); The anal exhaust time (46.33 ±14.89)h in TAM were greater than the(38.23±10.22)h in LM and(29.51±7.86)h in TVM(t=2.275, t=2.341, P0.05); The time of body temperature returned to normal posto- perative(2.01±1.49)d in TAM were higher than(1.87±1.0)d in LM and(1.75±1.62)d in TVM(t=2.315, t=2.341, P0.05); The time of hospital stay(8.12 ±1.46)d in TAM were higher than(7.12±1.65)d in LM and(6.35±1.27d in TVM(t=2.375, t=2.441, P0.05).Conclusion TVM could be performed in selected patients because it shows several advantages:including good safety, less trauma, less pain, quick recovery, low complications.
出处
《中国医药指南》
2010年第13期10-11,共2页
Guide of China Medicine