经阴道与经腹子宫肌瘤剔除术的效果比较

Comparison of transvaginal myomectomy with transabdominal myomectomy in treatment of uterine myomas

目的:探讨经阴道子宫肌瘤剔除术的效果。方法:76例子宫肌瘤患者中,30例经阴道子宫肌瘤剔除术(A组),46例经腹子宫肌瘤剔除术(B组),比较2组手术时间、术中出血量、术后下床活动时间、肛门排气时间及住院时间。结果:A组手术均成功,无中转开腹手术。A组手术时间、术中出血量、排气时间、术后活动时间、住院时间与B组比较,差异有统计学意义(P<0.05～P<0.01)。结论:经阴道子宫肌瘤剔除术具有手术时间短、术中出血少、术后恢复快等微创手术的特点,是低创、效优的手术方式,值得临床应用推广。

Objective：To evaluate the clinical efficacy of transvaginal myomectomy.Methods：Of 76 patients with uterine myomas,30 cases were treated by transvaginal myomectomy（group A） and 46 cases by transabdominal myomectomy（group B）.The duration of operation,bleeding volume during operation,hospital stay after operation and the time of bowel function recovery were compared between the two groups.Results：The operation was successful in all the cases in group A and no one resorted to transabdominal procedure.Group A were superior to group B in the duration of operation,bleeding volume during operation,hospital stay after operation and the time of bowel function recovery（P0.05-P0.01）.Conclusions：Transvaginal myomectomy has the advantages of minimal invasion and rapid recovery.It is a low invasive and effective procedure for treatment of uterine myomas and is worth popularizing.