腹腔镜下和经阴道子宫肌瘤剔除术的临床比较

Clinical comparison of between myomectomy under laparoscope and transvaginal myomectomy

目的探讨腹腔镜下和经阴道子宫肌瘤剔除术的临床疗效及优缺点。方法对81例腹腔镜下子宫肌瘤剔除术(腹腔镜组)和同期65例经阴道子宫肌瘤剔除术(阴式组)的临床资料进行回顾性分析。结果两组在剔除肌瘤最大直径、术后排气时间及住院天数比较差异无显著性意义(P>0.05);阴式组在手术时间、术中出血、剔除肌瘤个数上均明显优于腹腔镜组(P<0.05),腹腔镜组术后病发率高于阴式组,与术中缝合技术有关。结论两种手术均具有微创、保留生育功能的特点。经阴道子宫肌瘤剔除术更具有创伤小,安全性高,并发症少,手术操作难度小,疗效确定,住院费用低的优点,适合经济欠发达地区普遍开展。

Aim To compare clinical efficacy and features of two vaginal myomectomy.Methods The clinical data of 65 cases of transvaginal myomectomy（transvaginal group）and 81 cases of laparoscopic myomectomy（laparoscopic group）were retrospectiely analyzed in this study.Results No significant difference was detected in the length of resected myomas,recovery time of gastroin testinal function and length of hospital stay between the two groups（P0.05）.However,transvaginal group showed significantly shorter operation time,less blood loss,less resected myomas,lower post operative morbidity which related with surgical suture techniques than laparoscopic group（P0.05）.Conclusions The two clinical methods have the advantages of less trauma and keeping fertility.But transvaginal myomectomy has the advantages of smaller trauma,more security,fewer complications,easiery operation,determined curative effect and lower hospital costs,which is suitable to be adopted in underdeveloped areas.