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目的探讨经阴道子宫肌瘤剔除术的临床特点及临床价值。方法对近3年我院收治的186例子宫肌瘤患者,随机分为经阴道和经腹手术组各93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。结果两组患者的手术时间、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. Methods A total of 186 patients with uterine fibroids admitted to our hospital in the past 3 years were randomly divided into transvaginal and transabdominal groups, 93 cases in each group. The operation time, intraoperative blood loss, the number of fibroids were excluded, fibroids were removed, After the degree of pain and hospital stay. Results The operation time, intraoperative blood loss, the number of fibroids removed and the weight of the two groups had no significant difference. The perineum group had the advantages of less peritoneal invasion, faster recovery, less pain and shorter hospital stay. Conclusion Transvaginal myomectomy has the advantages of minimally invasive, simple operation, low cost and fast recovery, which is a safe and effective surgical method for preserving the uterus.