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目的 探讨经阴道子宫肌瘤剔除术的临床应用价值。方法回顾性分析 2 0 0 2 -0 5～ 2 0 0 3 -115 1例子宫肌瘤剔除 2 3例行经阴子宫肌瘤剔除术 (阴式组 ) ,与 2 8例行传统腹式子宫肌瘤剔除术作比较 (开腹组 )。结果 阴式组手术时间 ( 5 5± 19)min ,开腹组手术时间 ( 5 9± 2 1)min ,两组手术时间差异无显著性 (P >0 0 5 ) ;阴式组出血量 ( 160± 40 )ml,开腹组出血量 ( 190± 60 )ml,两组出血量对比差异有显著性 (P <0 0 5 ) ;术后肛门排气时间 ,阴式组 ( 2 5 43± 2 46)h ,开腹组 ( 3 7 86± 6 65 )h ;阴式组的术后排气时间明显短于开腹组 (P <0 0 1) ;术后 3d平均体温阴式组 ( 3 7 5 0± 0 2 2 )℃ ,开腹组 ( 3 8 2 0± 0 3 6)℃ ,两组差异有极显著性 (P <0 0 1) ;术后住院天数 ,阴式组 ( 4 5 3± 0 5 1)d ,开腹组 ( 6 3 8± 0 62 )d ,两组差异有极显著性 ( P <0 0 1)。结论 经阴道子宫肌瘤剔除术创伤小 ,术中出血少。腹部无疤痕 ,术后恢复快 ,不需要昂贵复杂设备等优点 ,适合各级医院推广运用
Objective To investigate the clinical value of vaginal myomectomy. Methods Retrospective analysis of 2 0 0 2 0 5 ~ 2 0 0 3 -115 1 cases of myomectomy excluding 23 cases of transvaginal myomectomy (vaginal group), and 28 cases of conventional abdominal uterus Myomectomy for surgery (open group). Results The operation time of vaginal group was (55 ± 19) min and that of open group was (59 ± 2 1) min, there was no significant difference between the two groups (P> 0.05) 160 ± 40) ml, the amount of bleeding in the open group was (190 ± 60) ml, there was significant difference between the two groups in bleeding volume (P <0.05) (P <0.01). The average body temperature in the vaginal group was significantly lower than that in the open group (P <0.01) (P <0.01). The number of days of hospitalization after operation, the number of hospitalized patients in the vaginal group (38 ± 10) 4 53 ± 0 5 1) d, and the open group (6 3 8 ± 0 62) d respectively. There was a significant difference between the two groups (P <0.01). Conclusion Transvaginal myomectomy less trauma, less bleeding. Abdominal scar, postoperative recovery fast, does not require expensive complex equipment, etc., suitable for all levels of hospitals to promote the use of