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目的对比经阴道子宫肌瘤剔除术与腹腔镜子宫肌瘤剔除术治疗子宫肌瘤的临床效果。方法选取镇平县妇幼保健院妇产科2014年1月—2016年1月收治的子宫肌瘤患者80例,按照随机数字表法分为对照组和观察组,各40例。对照组采用经阴道子宫肌瘤剔除术,观察组采用腹腔镜子宫肌瘤剔除术,对比观察两组患者的手术情况、住院情况及术后并发症发生情况。结果两组患者手术时间、住院时间比较,差异无统计学意义(P>0.05);观察组术中出血量少于对照组,肌瘤剔除数多于对照组,住院花费高于对照组,差异有统计学意义(P<0.05)。观察组术后并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论两种手术方式均有各自的优点和弊端,医生应根据患者子宫肌瘤情况及其家庭经济情况制定合理的手术方案。
Objective To compare the clinical efficacy of vaginal myomectomy and laparoscopic myomectomy in the treatment of uterine fibroids. Methods 80 patients with uterine fibroids admitted from January 2014 to January 2016 in Zhenping Maternal and Child Health Hospital were divided into control group and observation group according to the random number table method, 40 cases in each. The control group was treated by vaginal myomectomy. The observation group was treated by laparoscopic myomectomy. The operative conditions, hospitalization and postoperative complications were compared between the two groups. Results There was no significant difference in operative time and hospitalization time between the two groups (P> 0.05). The bleeding volume in the observation group was less than that in the control group, the number of myomectomy was more than that in the control group, and the hospitalization cost was higher than that in the control group There was statistical significance (P <0.05). The incidence of postoperative complications in the observation group was lower than that in the control group, with significant difference (P <0.05). Conclusion Both methods have their own advantages and disadvantages, doctors should be based on the situation of patients with uterine fibroids and their family economy to develop a reasonable surgical options.