经阴道子宫肌瘤剔除术33例临床评价

The clinical evaluation of 33 cases of Vaginal myomectomy

目的：探讨经阴道子宫肌瘤剔除术的可行性、安全性和社会性.方法：将2006年至2009年在我院施行子宫肌瘤手术的154例患者的病例进行回顾性分析.开腹子宫肌瘤剔除术86例、经阴道子宫肌瘤剔除术33例和腹腔镜下子宫肌瘤剔除术35例,比较手术及术后相关情况,包括手术时间、术中出血量、肛门排气时间、并发症发生率、住院费用.结果：手术时间,术中出血量三者相比差异无统计学意义;肛门排气时间开腹子宫肌瘤剔除术组长于经阴道子宫肌瘤剔除术组和腹腔镜下子宫肌瘤剔除术组,比较差异有统计学意义,并发症发生率开腹子宫肌瘤剔除术组3%,腹腔镜下子宫肌瘤剔除术组1%,经阴道子宫肌瘤剔除术组未发生,三者相比差异有统计学意义;住院费用腹腔镜子宫肌瘤剔除术组明显高于开腹子宫肌瘤剔除术组和经阴道子宫肌瘤剔除术组,后两者相比差异无统计学意义.结论：经阴道子宫肌瘤剔除术有创伤小,对腹腔干扰小,无疤痕,不需昂贵的器械,住院费用低等优点,是安全、可行的.

Objective To investigate the vaginal myomectomy feasibility, safety, and social. Methods 154 cases of surgical uterine fibroids patients were retrospectively analyzed in the 2006--2009 and in our hospital. 86 eases of abdominal myomectomy, and 33 cases of vaginal myomectomy, 35 eases of laparoscopic myomectomy surgery. Compare surgery and related conditions , including operative time, blood loss, anal exhaust time, complication rate, hospital charges . Results he operation time and blood loss were compared with no significant difference between the three; abdominal myomectomy group the most, vaginal myomectomy group at least, the three statistically significant difference compared; anal exhaust time leader in abdominal myomectomy than vaginal myomeetomy group and the laparoseopie myomeetomy group, later was no significant difference between the two; complication rate of abdominal myomectomy group 3% Laparoscopic uterine fibroids group 1% vaginal uterine fibroids group did not occur, the difference was statistically significant compared with the three;The hospital charges of abdominal myomectomy were significantly higher than laparoscopic myomectomy group and yaginal myomectomy ,the latter two was no significant difference. Conclusion The vaginal myomectomy was no scars, no expensive equipment, hospital and low cost advantages, is safe and feasible.