经阴道与经腹子宫肌瘤剔除术的临床分析

Clinical comparison and analysis of transvaginal myomectomy and transabdominal myomectomy

目的 比较经阴道与经腹子宫肌瘤剔除术的临床疗效.方法 选取2010年6月至2012年6月本溪市中心医院妇科子宫肌瘤剔除术患者84例,根据患者的意愿和随机分组的原则分成试验组和对照组,试验组42例行阴式子宫肌瘤剔除术（TVM）,对照组42例行腹式子宫肌瘤剔除术（TAM）.比较两组患者手术时间、术中出血量、术后肛门排气时间、住院时间及恢复情况.结果 TTVM组手术时间[（46.4±11.7）] min明显短于TAM组[（68.5±9.2） min]；出血量[（87.1±1.3）ml]明显少于TAM组[（108.2±2.4） ml]；肛门排气时间[（18.2±1.9）h]明显短于TAM组[（33.6±2.1）h]；住院时间[（5.5±0.5）d]明显短于TAM组[（8.5±1.0）d].两组症状改善均良好,均无残余肌瘤；TVM组肿痒痛不适（7.1％）明显少于TAM组（90.5％）,恢复工作时间[（15.0±1.5）d]也明显早于TAM组[（35.5±1.0）d],除残余肌瘤外,两组比较差异均有统计学意义（P＜0.05）.结论 TVM是低创、效优的手术方式,值得推广.

Objective To compare the clinical effects of transvaginal myomectomy and transabdominal myomectomy.Methods Eighty-four patients who underwent myomectomy from June 2010 to June 2012 were divided into experiment group and control group according to patients＇ willing and random principle.Forty-two cases in experiment group adopted transvaginal myomectomy（TVM） and 42 cases in control group adopted transvaginal myomectomy（TAM）.Operation time,bleeding amount during operation,flatus time after operation,hospital stays and recovery situations of the two groups were compared.Results Operation time of TVM group [（46.4 ± 11.7） min] was obviously shorter than that of TAM group [（68.5 ± 9.2） min],P ＜ 0.05 ; Bleeding amount [（87.1 ± 1.3） ml] was obviously less than that of TAM group [（108.2 ±2.4） ml],P ＜0.05; Flatus time [（18.2 ± 1.9） h] was obviously shorter than that of TAM group （33.6 ± 2.1） h],P ＜ 0.05 ; Hospital stays [（5.5 ± 0.5） d] was obviously shorter than that of TAM group [（8.5 ± 1.0） d],P ＜ 0.05.Recovery situations of both groups were fine,no residual myoma,（P ＞ 0.05） ; Discomfort of swell,itch and ache of TVM group 9.5 ％ was obviously less than that of TAM （85.7％）,return to work time [（15.0 ± 1.5） d] was also obviously shorter than that of TAM group [（35.5 ± 1.0） d],P ＜ 0.05.Conclusions TVM is an operation method of little invasion and good effect and should be popularized.