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目的:比较分析阴式子宫肌瘤剥除术与腹腔镜下子宫肌瘤剥除术的临床效果。方法:选择我院妇科门诊诊断为子宫肌瘤患者101例,根据患者的自愿选择结合手术指征,将所有病例分为A组腹腔镜手术组50例和B组阴式手术组各51例,从不同角度评估两种术式的临床效果。结果:B组阴式手术组病例在手术平均时间,术中平均出血量,术后平均排气时间,术后平均疼痛发生几率,住院平均时间等方面疗效均优于A组腹腔镜手术组,P<0.05,具有统计学意义。并在术后4周和12周时随访,结果显示,两组在月经正常与子宫恢复正常大小两方面,无明显差异(P>0.05)。结论:对于子宫肌瘤,阴式剥除手术临床疗效优于腹腔镜剥除手术,二者在术后恢复情况无显著差异,阴式子宫肌瘤剥除术值得推广。
Objective: To compare the clinical results of vaginal myomectomy and laparoscopic hysterectomy. Methods: A total of 101 cases of uterine fibroids were selected as gynecological clinic in our hospital. According to the patients’ voluntary choice and operation indications, all cases were divided into group A (50 cases) and group B (group B: 51 cases) Evaluate the clinical effects of the two procedures from different perspectives. Results: In group B, the curative effect of vaginal surgery group was better than that of laparoscopic group A in laparoscopic surgery group, mean operative time, mean intraoperative blood loss, average postoperative exhaust time, average postoperative pain incidence and average hospital stay, P <0.05, with statistical significance. At 4 weeks and 12 weeks postoperatively, the results showed that there was no significant difference between the two groups in normal menstruation and normal uterine size (P> 0.05). Conclusion: For uterine fibroids, the clinical effect of vaginal ablation is better than that of laparoscopic surgery. There is no significant difference between the two in the recovery after operation. Vaginal myomectomy is worth popularizing.