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目的对宫颈肌瘤患者治疗的手术途径、术式进行分析与探讨。方法 69例宫颈肌瘤患者,根据宫颈肌瘤生长的方向、大小、对生育的要求等因素,选择不同的手术方法 ,观察治疗效果。结果 20例患者是在宫颈黏膜下采用经阴道行肌瘤摘除术治疗;29例患者要求保留生育功能,选择肌瘤剜除术与腹式全子宫切除术进行治疗;20例患者将肌瘤完全剥除后采用的是全子宫切除术进行治疗;68例患者手术治疗后并无明显的并发症,1例患者在手术后发生盆腔血肿。结论在治疗宫颈肌瘤患者时,根据患者的临床病情与要求,合理地选择手术途径与手术方式,能够有效提高手术治疗的效果,降低手术并发症发生几率。
Objective To analyze and discuss the surgical approaches and surgical procedures for the treatment of patients with cervical leiomyoma. Methods 69 cases of cervical fibroids, according to the growth of cervical fibroids, size, the requirements of fertility and other factors, choose a different surgical methods to observe the therapeutic effect. Results Twenty patients underwent vaginal myomectomy under cervical mucosa. Twenty-nine patients were required to retain their reproductive function, choose myomactomy and abdominal hysterectomy for treatment, and 20 patients were completely fibroids Hysterectomy was used for the treatment after dissection; 68 patients had no significant complications after surgery, and 1 patient had pelvic hematoma after the operation. Conclusion In the treatment of patients with cervical myoma, according to the patient’s clinical condition and requirements, a reasonable choice of surgical approach and surgical approach can effectively improve the effect of surgical treatment and reduce the incidence of surgical complications.