经阴道手术切除子宫颈肌瘤50例临床分析

Clinical Analysis of 50 Cases of Cervical Myoma by Transvaginal Hysterectomy

目的:观察经阴道手术切除子宫颈肌瘤的可行性。方法:67例子宫肌瘤患者随机分为观察组50例和对照组17例,观察组50例子宫颈肌瘤患者采取经引道肌瘤切除术或剜除术,对照组17例采用经腹切除。结果:两组肌瘤数目、平均手术时间比较差异无统计学意义(P>0.05),观察组肛门排气时间、术后体温恢复、术中出血量、平均住院天数均优于对照组,差异有统计学意义(P<0.05)。结论:经阴道切除宫颈肌瘤,手术后患者恢复快、反应小,可减少感染性内容物进入腹腔。

Objective：To observe the feasibility of transvaginal hysterectomy for cervical myoma.Method：67 patients with cervical myoma were randomly divided into the observation group（50 cases） and the control group（17 cases）,the observation group of 50 cases treated with transvaginal myoma resection or enucleation and the control group,17 cases in the control group underwent transabdominal resection.Result：There were no significant difference in the number of myoma and the average operation time of the two groups（P〈0.05）,the time of anus exhaust,postoperative body temperature,blood loss,average length of stay in the observation group were better than those in the control group,there were significant differences（P〈0.05）.Conclusion：The patients with uterine cervix myoma treat with transvaginal hysterectomy which recover quickly and the reaction is small,and the infecte contents are reduced to the abdominal cavity.