论文部分内容阅读
目的:比较腹腔镜下与经阴道子宫肌瘤剔除术的临床效果、手术适应症及优缺点。方法:将102例子宫肌瘤患者随机分成两组,62例采用腹腔镜下子宫肌瘤剔除术,40例采用经阴道子宫肌瘤剔除术。结果:腹腔镜组比经阴道组手术时间长(P<0.05),但其术后排气时间、住院时间比经阴道组短,术后病率低,差异有统计学意义(P<0.05),两组平均术中出血量比较,差异无统计学意义(P>0.05)。结论:腹腔镜下及经阴道子宫肌瘤剔除术均取得良好的效果,创伤小,腹腔镜组较经阴道组术后恢复快,术后病率低,但其手术时间长,费用高昂。两组各有其适应症和优缺点,我们应根据病人的不同情况采用不同的术式。
Objective: To compare the clinical effects of laparoscopic vaginal myomectomy, surgical indications and advantages and disadvantages. Methods: 102 cases of uterine fibroids were randomly divided into two groups, 62 cases of laparoscopic myomectomy, 40 cases of vaginal myomectomy. Results: The operation time of laparoscopic group was longer than that of transvaginal group (P <0.05), but the postoperative discharge time and hospitalization time were shorter than that of transvaginal group, the postoperative morbidity was lower, the difference was statistically significant (P <0.05) There was no significant difference between the two groups in mean blood loss (P> 0.05). Conclusion: Laparoscopic and transvaginal myomectomy achieved good results with less trauma. The laparoscopic group recovered faster than the vaginal group and the postoperative morbidity was low, but the operation time was long and the cost was high. Two groups have their own indications and advantages and disadvantages, we should be based on the patient’s different situations using different surgical procedures.