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目的总结阴式子宫肌瘤剔除术的特点,探讨阴式子宫肌瘤剔除术的临床疗效及安全性。方法回顾性分析2012年8月至2014年8月在灵宝市第一人民医院接受子宫肌瘤手术的70例患者临床资料,随机分为观察组和对照组,观察组给予阴式子宫肌瘤剔除术,对照组行传统的开腹子宫颈剔除手术,比较两组手术疗效及术后恢复情况。结果两组手术时间、术中失血量、术后最高体温等方面对比差异无统计学意义(P>0.05),不过在剔除肿瘤个数、导管留置时间、术后病率、住院时间及肛门排气功能恢复时间等方面两组对比差异有统计学意义(P<0.05)。结论阴式子宫肌瘤剔除与开腹子宫肌瘤剔除术均是治疗子宫肌瘤有效的术式,但阴式子宫肌瘤剔除术手术创伤小,术后恢复快,并发症少,是比较理想的术式选择。
Objective To summarize the characteristics of vaginal myomectomy, explore the clinical efficacy and safety of vaginal myomectomy. Methods The clinical data of 70 patients undergoing hysteromyoma surgery from January 2012 to August 2014 in Lingbao First People’s Hospital were retrospectively analyzed and randomly divided into observation group and control group. The observation group was given vaginal uterine fibroids Excision, control group of traditional open laparoscopic surgery, curative effect and postoperative recovery of the two groups were compared. Results There was no significant difference in operative time, intraoperative blood loss and postoperative maximal body temperature between the two groups (P> 0.05), but no significant difference was found in the number of tumors, catheter indwelling time, postoperative morbidity, length of hospital stay, Gas function recovery time and so there was significant difference between the two groups (P <0.05). Conclusion Negative myomectomy and laparotomy myomectomy are effective surgical treatment of uterine fibroids, but vaginal myomectomy surgery less trauma, faster recovery, fewer complications, is an ideal The surgical options.