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[目的]探讨阴式子宫肌瘤剔除术的临床效果和安全性。[方法]回顾性分析行阴式子宫肌瘤剔除术患者40例(阴式组)及同期行开腹子宫肌瘤剔除术的患者40例(对照组)的临床资料,比较手术效果和术后恢复情况。[结果]平均手术时间、术中平均出血量两组比较,差异无统计学意义(t=1.175,P=0.243;t=0.482,P=0.631)。阴式组患者术后排气时间(18±8h vs 29±9h,t=5.778,P=0.0001)、术后住院时间均明显短于对照组(4±1d vs 6±1d,t=8.944,P<0.001)。两组患者术后平均随访6个月,症状均改善;与对照组比较,阴式组患者术后康复快。[结论]阴式子宫肌瘤剔除术较开腹子宫肌瘤剔除术术后恢复快、住院时间短。
[Objective] To explore the clinical effect and safety of vaginal myomectomy. [Methods] The clinical data of 40 patients with vaginal myomectomy (negative group) and 40 patients with open myomectomy (control group) during the same period were retrospectively analyzed. The effects of the surgery and postoperative Restore the situation. [Results] There was no significant difference between the two groups in average operation time and mean intraoperative blood loss (t = 1.175, P = 0.243; t = 0.482, P = 0.631). In the negative group, the postoperative exhaust time (18 ± 8h vs 29 ± 9h, t = 5.778, P = 0.0001) and postoperative hospital stay were significantly shorter than those in the control group (4 ± 1d vs 6 ± 1d, t = 8.944, P <0.001). Two groups of patients were followed up for an average of 6 months after surgery, the symptoms were improved; compared with the control group, the patients in the vaginal group recovered quickly. [Conclusion] Vaginal myomectomy is more effective than open laparoscopic myomectomy in removing short-term hospitalization.