经阴道子宫肌瘤剔除术23例临床分析

Clinical analysif of 23 cases of transvaginal myomectomy

目的:临床比较经阴道子宫肌瘤剔除术(TM)与腹腔镜下子宫肌瘤剔除术(LM)的治疗效果。方法:选取医院收治的46例子宫肌瘤患者为研究对象,随机分为对照组23例和观察组23例。对照组患者施行腹腔镜子宫肌瘤剔除术(LM),观察组患者施行经阴道子宫肌瘤剔除术(TM)。比较两组患者手术情况、并发症发生情况。结果:观察组患者手术时间、术中出血量低于对照组(P<0.05),两组患者肌瘤剔除个数、住院天数、术后并发症发生率比较无明显差异。结论:TM与LM都具有非常好的临床疗效,与LM相比,TM手术时间更短、术中出血量相对减少,适应症是子宫后壁肌瘤、前壁下段或颈管肌瘤;经阴道子宫肌瘤剔除术手术创伤较小、术后盆腔黏连发生率较低,无肿瘤播散,手术切口为天然腔道。故临床实践中应根据患者实际情况选取适当的手术方式。

Objective:To discuss clinical efficacy of transvaginal myomectomy and laparoscopic myomectomy.Method:46 myoma uterus patients admitted in the hospital were selected and divided randomly into control group and observation group,with 23 and 23 cases respectively.The control group was given LM,and observation group was given TM.Surgery conditions and complications of the two groups were compared.Result:surgery duration and bleeding amount of the observation group were lower than those of the control group(P<0.05).Hospitalization time,number of tumor,complication occurrrence showed no difference.Conclusion:TM and LM both proved effective.Compared with LM,TM had less bleeding and shorter surgery duration,which was suitable for intramural,subserosal,anterior or Cervical myoma.TM has little surgical trauma,and lower occurrence of pelvic adhesion,and surgical incision is natural cavity.Therefore,appropriate surgical method should be chosen in line with actual conditions of the patients.