经阴道子宫肌瘤剔除术的临床疗效

Clinical efficacy of transvaginal myomectomy

目的：探讨经阴道子宫肌瘤剔除术的临床疗效。方法收集127例子宫肌瘤患者，按治疗方法分为两组，对照组行经腹子宫肌瘤剔除术，观察组行经阴道子宫肌瘤剔除术。比较两组患者手术时间、手术出血量、术后肛门排气时间、住院时间以及术后患者疼痛程度。结果两组患者手术时间、手术出血量组间比较差异无统计学意义（P 〉0.05）；观察组患者肛门排气时间和住院时间均少于对照组（P 〈0.05）；观察组患者术后重度疼痛比例低于对照组（P 〈0.05）。结论经阴道子宫肌瘤剔除术创伤小、恢复快、术后痛苦轻、腹部无瘢痕，安全性高，临床治疗效果显著。

Objective To investigate the clinical efficacy of transvaginal myomectomy. Methods The 127 patients with myoma of uterus,according to treatment methods were divided into two groups, the control group underwent abdominal myomectomy,the observation group underwent transvaginal myo-mectomy. The operation time,bleeding volume during operation,postoperative anal exhaust time,hospi-talization time,postoperative pain degree of patients and incision healing were compared between the two groups. Results There was no significant difference in the operation time,operation bleeding volume be-tween the two groups（P ＆gt;0. 05）;The anal exhaust time and hospital stay was significant less in the obser-vation group than that in the control group（P 〈0. 05）;The proportion of severe pain after operation in the observation group was lower than that in the control group,and the wound healing was superior to the con-trol group（P 〈0. 05）. Conclusions Transvaginal myomectomy has the advantages of small trauma,quick recovery,little postoperative pain,abdominal scar free,high safety,and the clinical effect is remarkable.