经阴道与经腹子宫肌瘤剔除术93例临床对比分析

Vaginal and abdominal myomectomy comparative analysis of 90 cases

目的探讨经阴道子宫肌瘤剔除术的临床特点及临床价值。方法对近3年我院收治的186例子宫肌瘤患者,随机分为经阴道和经腹手术组各93例,观察手术时间、术中出血量、剔除肌瘤数目、剔除肌瘤重量、术后疼痛程度和住院时间。结果两组患者的手术时间、术中出血量、剔除肌瘤数目及重量无明显差异,经阴组有对腹腔侵扰少、恢复快、痛苦小、住院时间短等优点。结论经阴道子宫肌瘤剔除术具有微创、操作简便、费用低、恢复快等优点,是一种安全有效的保留子宫的手术方法。

Objective To discuss vaginal myomectomy clinical characteristics and clinical value. Methods 3 years in our hospital 180 cases of uterine fibroids were randomly divided into vaginal and abdominal surgery group 90 cases, operation time, blood loss, number of fibroids removed, remove myoma weight, surgeryAfter the pain and hospital stay. Results vaginal group compared with the same abdominal：two groups of operating time, blood loss, number and weight of fibroids removed had no significant difference in vaginal group and less intrusive on the abdominal cavity, fast recovery, less pain, hospital stay and short. Conclusion Vaginal myomectomy with minimally invasive, simple, low cost, quick recovery, is a safe and effective surgical method to retain the uterus.