经阴道与经腹腔镜行子宫肌瘤剔除术的临床分析.pdf

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1、·66·CHINESEJ0URNALOFFAMILYPLANNING＆GYNECOT0K0LOGYVolume6Number62014经阴道与经腹腔镜行子宫肌瘤剔除术的临床分析成晓靖作者单位：225261江苏扬州，扬州友好医院妇产科作者简介：毕业于南京医学院，本科，副主任医师，研究方向为妇科临床【摘要】目的比较分析经阴道与经腹腔镜行子宫肌瘤剔除术的临床效果。方法选取扬州友好医院行手术治疗的子宫肌瘤患者96例，其中观察组46例行经阴道子宫肌瘤剔除术，对照组50例行经腹腔镜子宫肌瘤剔除术，观察两组患者术中情况、住院花费、术后情况

2、、肌瘤复发率及肌瘤残留率。结果两组患者手术时间、术中出血量、住院时间、术后病率及镇痛剂使用率方面比较，差异无统计学意义(P>0．05)；观察组剔除的肌瘤数多于对照组(P<0．05)，观察组住院费用、肛门排气时间少于对照组(P<0．05)：两组子宫肌瘤复发率、残留率比较，差异无统计学意义(P>0．05)。结论经阴道子宫肌瘤剔除术剔除的肌瘤数多，而经腹腔镜子宫肌瘤剔除术手术创伤小，粘连发生率低。两种手术方式的选择应根据患者的需求、子宫肌瘤的数目、大小及手术者的经验来选择合适的手术方式。【关键词】子宫肌瘤；经阴道子宫肌瘤剔除术；腹

3、腔镜子宫肌瘤剔除术【中图分类号】R737．33【文献标志码】A【文章编号】1674—4020(2014)06—0066—03doi：10．3969／j．issn．1674—4020．2014．06．21TheclinicalanalysisofvaginalmyomectomyandlaparoscopicmyomectomyXIANXiao—jtngDepartmentofObstetricsandGynecology，FriendshipHospitalofYangzhou，YangzhouJiangsu225261，P

4、．R．China【Abstract】ObjectiveToanalyzetheclinicalefficacyofvaginalmyomectomyandlaparoscopicmyomectomy．Methods96easeswithuterineleiomyomainFriendshipHospitalofYangzhoufromOctober2010toJanuary2014wereenrolled，46patientsconductedvaginalmyomectomywereselectedastheobserva

5、tiongroup，50patientsconductedlaparoscopicmyomectomywereselectedasthecontrolgroup．Theintraoperativesituationhospitalization，cost，postoperativesituation，uterineleiomyomarelapserateandtherateofmyomaresidualinthetwogroupswereobserved．ResultsNosignificantdifferenceweref

6、oundinoperationtime，len~hofstay，postoperativemorbidity，theamountofbleedingandanalgesicuseratebetweenthetwogroups(P>0．05)．Thenumberofmyomaintheobservationgroupwasmorethanthecontrolgroup(尸<0．05)．Thehospitalizationexpensesandpostoperativeexhausttimeintheobservationgro

7、upwerelessthanthecontrolgroup(P<0．05)．Nosignificantdifferencewerefoundinuterineleiomyomarelapserateandtherateofmyomaresidual(P>0．05)．ConclusionVaginalmyomectomyhascharacteristicsofmoreremovingmyoma，whilelaparoscopicmyomectomyhascharacteristicsoflittleoperationtraum

8、a，lowincidenceofadhesions．Appropriateoperationmodeshouldbechosenaccordingtotherequirementofpatients，numberandsizeofuterineleiomyoma，operationexpe