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目的比较阴式子宫肌瘤剔除术(TVM)与腹腔镜子宫肌瘤剔除术(LM)的术中术后情况,探讨两种术式的合理选择。方法分析徐州市妇幼保健院2007-03-2011-07子宫肌瘤患者60例,分别施行TVM(治疗组)及LM(对照组)各30例,比较两种术式。结果两组手术并发症、肛门排气时间差异无统计学意义(P>0.05),手术时间、术中出血量、住院时间、费用方面差异有统计学意义(P<0.05)。结论 TVM有创伤小、恢复快等优点,是治疗子宫肌瘤良好的微创手术方法。
Objective To compare the postoperative outcomes of vaginal myomectomy (TVM) and laparoscopic myomectomy (LM) in order to explore the reasonable choice of two surgical procedures. Methods Analysis of 60 cases of uterine fibroids in Xuzhou Maternal and Child Health Hospital 2007-03-2011-07, respectively, TVM (treatment group) and LM (control group) 30 cases, respectively. Results There was no significant difference in operative complications and anal exhaust time between the two groups (P> 0.05). There was significant difference in operation time, intraoperative blood loss, hospitalization time and cost (P <0.05). Conclusion TVM has the advantages of less trauma, faster recovery, and is a good minimally invasive surgical method for the treatment of uterine fibroids.