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目的:探讨经阴子宫肌瘤剔除术的临床应用价值。方法:对40例子宫肌瘤患者行经阴子宫肌瘤剔除术,选择同期经腹子宫肌瘤剔除术38例患者作为对照。结果:术中发现肌壁间肌瘤28例,浆膜下肌瘤14例,肌瘤直径约3～7cm,全部顺利取出,两组相比手术时间、出血量无明显差异,术后病率、术后肠道恢复时间、术后疼痛程度、术后住院时间有明显差异。结论:经阴子宫肌瘤剔除术是一种安全有效的微创手术方法。其优点是损伤小、恢复快、外观美,是目前较为理想的微创手术治疗子宫肌瘤的方法之一。
Objective: To investigate the clinical value of transvaginal myomectomy. Methods: Forty patients with uterine fibroids underwent myomectomy and 38 patients underwent resection of abdominal myomectomy at the same time. Results: Intraoperative intramural fibroids in 28 cases, 14 cases of subserosal fibroids, fibroids diameter of about 3 ~ 7cm, all smoothly removed, the two groups compared to the operation time, bleeding volume was no significant difference in postoperative morbidity , Postoperative intestinal recovery time, postoperative pain, postoperative hospital stay were significantly different. Conclusion: Vaginal myomectomy is a safe and effective method of minimally invasive surgery. Its advantage is less damage, rapid recovery, the appearance of the United States, is currently the ideal minimally invasive surgical treatment of uterine fibroids one way.