阴式子宫肌瘤剔除术与腹腔镜下子宫肌瘤剔除术的临床疗效对比分析

Comparative Outcomes Between Transvaginal Myomectomy and Laparoscopic Myomectomy

目的探讨阴式子宫肌瘤剔除术(TVM)和腹腔镜子宫肌瘤剔除术的临床疗效。方法选择2006年6月至2011年6月在江苏省淮安市第二人民医院行TVM患者35例为研究对象,并纳入阴式组,随机选择同期在本院接受腹腔镜子宫肌瘤剔除术患者41例纳入腹腔镜组。两组患者年龄、子宫肌瘤大小、阴道分娩史和盆腔手术比例等比较,差异无统计学意义(P>0.05)。对比分析两组的临床疗效。结果阴式组和腹腔镜组患者的手术成功率、手术时间、术中出血量、术后肛门排气及术后病率比较,差异无统计学意义(P>0.05);阴式组剔除肌壁间肌瘤数多于腹腔镜组,而住院时间与住院费用显著少于腹腔镜组,两组比较,差异均有统计学意义(P<0.05)。结论 TVM具有微创、安全及经济的优点,值得临床推广应用。

Objective To compare the clinical effectiveness, safety between transvaginal myomectomy （TVM）. and laparoscopic myomectomy. Methods The clinical data of 35 patients with TVM （TVM group） and 41 patients with laparoscopic myomectomys （laparoscope group） between June 2006 to June 2010 in Huanran Second People＇s Hospital were collected and compared. There was no statistical differences on age, the size of uterine fibroid, history of vaginal delivery and operation on pelvis in the past medical history between the two groups. Results No statistical differences were found in the successful rate of operation, operation duration, duration, blood loss, myoma size, the time of first passage of flatus and postoperative morbidity between 2 groups （P 〉 0. 05）. More myoma, shorter hospital stays and less hospitalization expenses were achieved in TVM group compared with laparoscope group. Conclusions TVM is highly recommended because of its mininal invasiveness,safety and economy advantages.