经阴道与腹腔镜下子宫肌瘤剔除术的临床效果比较

The Comparison of Clinical Effect between Vaginal and Laparoscopic Myomectomy

目的:探索研究经阴道与腹腔镜下子宫肌瘤剔除术的临床效果;方法:212例子宫肌瘤患者,平均分为阴式组与腹腔镜组。阴式组行阴道子宫肌瘤剔除术,腹腔镜组行腹腔镜下子宫肌瘤剔除术;结果:两组患者的手术时间、手术中出血量、手术后病率、患者住院时间没有显著性差异(P>0.05),腹腔镜组患者的手术后肛门排气时间晚,住院总费用高,和阴式组比较存在显著性差异(P<0.05),术后随访两组患者切口愈合均表现良好,超声检查也未见子宫肌瘤。结论:经阴道与腹腔镜下子宫肌瘤剔除术两种手术方式各有优缺点,作为微创手术,临床上可以针对不同患者的情况选择使用。

Objective：To explore the clinical effect of vaginal and laparoscopic myomectomy.Methods：212 patients with myoma were divided into vaginal group and the laparoscopic group, the vaginal group underwent vaginal myomectomy and the laparoscopic group underwent laparoscopic myomectomy. Results：The two groups of patients in operation time, amount of bleeding during the operation, the morbidity after operation, hospitalization time had no significant difference（P〈0.05）, the laparoscopic group of patients after operation had later exhaust time, hospitalization expenses was high, it had significant difference with the vaginal group（P〈0.05）, postoperative follow-up of two patients showed good healing of incision, ultrasound examination no uterine leiomyoma.Conclusion：The two kinds of operation mode of vaginal and laparoscopic myomectomy have advantages and disadvantages, as a minimally invasive operation, clinical on can be used according to different conditions of patients to choose.