腹腔镜与阴式子宫肌瘤剔除术临床疗效对比分析

Comparative Analysis of Clinical Effect of Laparoscopic and Vaginal Hysteromyomectomy

目的比较腹腔镜子宫肌瘤剔除术和阴式子宫肌瘤剔除术的临床疗效。方法对182例子宫肌瘤患者分别经腹腔镜(LM组,106例)或经阴道(VM组,76例)行子宫肌瘤剔除术,比较其手术时间、术中出血量、术后排气时间、住院时间、手术费用及术后残留率、复发率情况。结果与VM组相比,LM组手术时间短、术中出血少、术后排气快、术后住院时间短、感染率低,但费用较高,差异均有统计学意义(P<0.05),而两者术后残留率、复发率比较,差异无统计学意义(P>0.05)。结论腹腔镜与阴式子宫肌瘤剔除术均具有创伤小、恢复快的优点,是要求保留子宫患者的有效安全的治疗方式,腹腔镜肌瘤剔除术略优于阴式子宫肌瘤剔除术,但费用较高,两者的术后残留率和复发率相当。

Objective To compare the clinical efficacy between laparoscopic hysteromyomectomy （LM） and vaginal hysteromyomectomy （ VM）. Methods The operative time, blood loss, postoperative exhaust time, hospital stay, costs of sur- gery, rates of residue and recurrence were compared between 106 fibroid patients undergoing LM （LM group） and 76 receiving VM （ VM group）. Results Compared with VM group, LM group had shorter operation time, less blood loss, faster postopera- tive exhaust, shorter hospital stay, lower infection rate, higher operative costs ; the difference was significant （ P 〈 0. 05 ）. No significant difference was noted in operative residue or recurrence （P 〉 0. 05 ）. Conclusion LM and VM, both of good merits such as small trauma, fast recovery, are effective and safe treatments for patients requiring to reserve uterine. LM is superior to VM but its costs higher. Their operative residue and recurrence rates are equal.