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目的探讨比较子宫肌瘤的治疗方法及优缺点。方法92例子宫肌瘤患者随机等分为两组,治疗组采用阴式子宫肌瘤剔除术,对照组采用腹腔镜子宫肌瘤剔除术,比较两组术中、术后恢复情况。结果治疗组手术时间与出血量均少于对照组,治疗组在术后出现的最高体温低于对照组,且治疗组体温正常时间、肛门排气时间、住院时间均短于对照组,差异均有统计学意义(P<0.05,P<0.01)。结论阴式子宫肌瘤剔除术具有创伤小、术后康复快、费用低等优点,是治疗子宫肌瘤良好的微创手术方法。
Objective To compare the advantages and disadvantages of the treatment of uterine fibroids. Methods 92 cases of uterine fibroids were randomly divided into two groups. The treatment group was vaginal myomectomy. The control group was treated by laparoscopic myomectomy. The intraoperative and postoperative recovery were compared between the two groups. Results The operation time and bleeding volume in the treatment group were less than those in the control group. The highest body temperature in the treatment group after operation was lower than that in the control group. The normal body temperature, anal exhaust time and hospital stay in the treatment group were shorter than those in the control group. There was statistical significance (P <0.05, P <0.01). Conclusion Vaginal myomectomy has the advantages of less trauma, faster recovery and lower cost. It is a good minimally invasive surgical method for the treatment of uterine fibroids.