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目的:探讨经阴道子宫肌瘤剔除术(TVM)的临床特点及临床价值。方法:对近6年我院收治的180例子宫肌瘤患者,随机分为经阴道和经腹手术组各90例,观察手术时间、术中出血量、剔除肌瘤数目、剔除肌瘤重量、术后疼痛程度和住院时间。结果:经阴组与同期经腹组比较:2组患者的手术时间、术中出血量、剔除肌瘤数目及重量无明显差异,经阴组有对腹腔侵扰少、恢复快、痛苦小、住院时间短等优点。结论:经阴道子宫肌瘤剔除术(TVM)具有微创、操作简便、费用低、恢复快等优点,是一种安全有效的保留子宫的手术方法。
Objective: To investigate the clinical features and clinical value of vaginal myomectomy (TVM). Methods: In the past 6 years, 180 cases of uterine fibroids admitted to our hospital were randomly divided into transvaginal and transabdominal surgery groups of 90 cases. The operation time, intraoperative blood loss, the number of fibroids were excluded, the fibroids were excluded, Postoperative pain and length of stay. Results: There was no significant difference in operation time, intraoperative blood loss, number of fibroids removed and weight between the two groups. There was no significant difference in perineal group between transvaginal group and transabdominal group. Short time and other advantages. Conclusion: Transvaginal myomectomy (TVM) has the advantages of minimal invasion, simple operation, low cost and quick recovery. It is a safe and effective method to preserve the uterus.