三种子宫肌瘤剔除术式的比较

Comparative Study of Three Different Types Surgical Myomectomy

目的:探讨子宫肌瘤剔除术不同手术方式(开腹,经阴和腹腔镜三种方式)的临床效果。方法:回顾性分析2009年1月至2011年8月于我院妇产科住院行子宫肌瘤剔除术的患者173例,按不同的术式分为开腹组、经阴道组和腹腔镜组。结果:阴式子宫肌瘤剔除术(TVM)在手术时间和出血量方面有优势(P<0.05);腹腔镜子宫肌瘤剔除术(LM)在术后住院天数,肠功能恢复的时间较阴式子宫肌瘤剔除术和开腹子宫肌瘤剔除术(TAM)短(P<0.05);而开腹子宫肌瘤剔除术适合于剔除直径较大的子宫肌瘤。结论:3种术式各有利弊,术前应个体化选择。

Objective： To discuss the clinical efficacy of thrcc types of myomcctomy ： abdominal, vaginal and laparoscopic method. Mothed： Retrospective analysis was taken from Jan. 2009 to Aug. 2011 in our hospital among 173 cases of patients with uterine fibroids. All the patients were underwent the abdominal, vaginal and laparoscopic myomectomy. Result： TVM has less operation time and blood lost （ P〈0.05 ） ; LM has less time in postoperative recovery and anal exhaust （ P〈0.05 ） ;TAM is good for big uterine fibroids. Conclusion： Three advantages and disadvantages to myomectomy should be individualized choice before surgery