阴式子宫肌瘤剔除术临床分析

Clinical analysis on vaginal myomectomy

子宫肌瘤是女性生殖器最常见的良性肿瘤,由平滑肌及结缔组织组成,常见于30～50岁妇女,20岁以下少见。据统计,至少有20%的育龄妇女有子宫肌瘤[1]。近年,随着人们保健意识的增强,生活质量的提高,患者中要求保留子宫的人越来越多。以往最常用的治疗手段为开腹手术及腹腔镜手术,但随着微创手术理念在妇产科领域引入,子宫肌瘤的阴式手术显示了突出优点。尤其当肌瘤数目过多或肌瘤过大,腹腔镜下子宫肌瘤剔除术存在手术时间长、出血相对增加、小肌瘤容易残留和残腔缝合止血困难等缺陷时,在严格掌握适应症的情况下,阴式子宫肌瘤剔除术比腹腔镜下子宫肌瘤剔除术的手术效果更好、损伤更小、无腹壁瘢痕,术后疼痛轻、康复快、安全可行,值得推广应用。本院今年行阴式子宫肌瘤切除术40例,均取得良好效果,现报道如下。

Objectives： Uterine fibroids are the most common benign tumor of female genital mutilation. It is formed with smooth muscle and connective tissue and is common in women aged 30 ~ 50. According to statisticS, at least 20% of childbearing - age women have uterine fibroidsEl2. In recent years, with better awareness of health and improved life quality, patients have in creasing request for retaining the uterus. The most commonly used treatment in the past is the abdominal surgery and laparoscopic surgery. However, when minimally invasive surgery concept was introduced into the field of obstetrics and gynecology, uterine fi- broids vaginal surgery shows its advantages, especially when fibroids are greater in number and larger in size. Laparoscopie myo- mectomy may take a longer operation time, and result in an increase in bleeding, the residual of small tumor and the difficulty of suture. Therefore, vaginal myomectomy can have better surgery result than laparoscopic myomectomy. It may cause less damage, no abdominal scar, less postoperative pain, rapid recovery, and can be widely promoted.