开腹、腹腔镜下及阴式子宫肌瘤剔除术的临床疗效对比

Comparison of clinical effects by laparotomy, laparoscopic and transvaginal myomectomy

目的对比开腹、腹腔镜下及阴式子宫肌瘤剔除术的疗效。方法 186例子宫肌瘤患者,随机分为开腹组、腹腔镜组及阴式组,各62例,三组患者分别进行对应治疗,观察疗效。结果腹腔镜组、阴式组术中出血量、住院时间、术后排气时间、累计排便率、疼痛率显著优于开腹组(P<0.05),手术时间长于开腹组(P<0.05);阴式组术后发病率及术后复发率明显低于开腹组及腹腔镜组(P<0.05)。结论开腹、腹腔镜下及阴式子宫肌瘤剔除术各有优劣,应考虑患者的具体情况选择适合患者的方法。

Objective To compare curative effects by laparotomy, laparoscopic and transvaginal myomectomy. Methods A total of 186 patients with uterine fibroid were randomly divided into laparotomy group, laparoscopic group and transvaginal group, with 62 cases in each group. All three groups received corresponding treatment. Curative effects were observed. Results Laparoscopic group and transvaginal group had all better intraoperative bleeding volume, hospital stay time, postoperative exhaust time, cumulative defecate rate and pain rate than laparotomy group（P0.05）, and their operation times were longer than laparotomy group（P0.05）. Transvaginal group had obviously lower postoperative morbidity rate and recurrence rate than laparotomy group and laparoscopic group（P0.05）. Conclusion Laparotomy, laparoscopic and transvaginal myomectomy all contain their advantages, and preferred method ought to be determined by specific condition in patients.