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目的:探讨微创手术治疗子宫肌瘤保留子宫的手术方式选择。方法:河南省安阳地区医院将2003年3月~2008年3月间住院治疗的251例资料齐全的子宫肌瘤患者,分为腹腔镜手术组和阴式手术组,对比观察两组手术效果及术后恢复情况等。结果:阴式手术组手术时间,术中失血量明显少于腹腔镜手术组(P<0.05),两组剔除肌瘤质量、单个肌瘤质量及术后恢复情况差异无统计学意义(P>0.05)。结论:子宫体积小于12孕周,瘤体直径<10 cm,子宫活动度好且无合并症者,阴式手术时间短,术中失血量少,适于临床应用。
Objective: To investigate the surgical methods of minimally invasive surgical treatment of uterine fibroids. Methods: Anyang District Hospital of Henan Province from March 2003 to March 2008 hospitalized 251 cases of complete uterine fibroids patients were divided into laparoscopic surgery group and vaginal surgery group, compared the two groups of surgical effects and Postoperative recovery and so on. Results: The operation time and intraoperative blood loss in the vaginal surgery group were significantly less than those in the laparoscopic surgery group (P <0.05). There was no significant difference in the quality of the fibroids, the individual fibroids and postoperative recovery between the two groups (P> 0.05). Conclusion: The uterus volume less than 12 gestational weeks, tumor diameter <10 cm, good uterine motion without complications, vaginal surgery time is short, less blood loss, suitable for clinical application.