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目的探讨不同术式子宫肌瘤剔除术的临床价值。方法将我院150例子宫肌瘤患者随机分为三组,即开腹组、经阴道组、腹腔镜组,观察三组手术时间、术中出血量、术后肛门排气时间、术后下床时间和术后住院时间。结果三组手术时间、术中出血量差异无显著性(P>0.05),经阴道组、腹腔镜组术后肛门排气时间、下床时间、住院时间均短于开腹组(P<0.01)。结论经阴道、腹腔镜手术均为微创手术,但腹腔镜手术微创、快捷、出血少、并发症少、术后恢复快、疗效肯定、住院时间短等优点更为突出,值得临床推广。
Objective To investigate the clinical value of different types of myomectomy. Methods 150 patients with uterine fibroids in our hospital were randomly divided into three groups: laparotomy group, transvaginal group and laparoscopic group. The operation time, intraoperative blood loss, postoperative anal exhaust time, Bed time and postoperative hospital stay. Results There was no significant difference in operative time and intraoperative blood loss between the three groups (P> 0.05). The anal exhaust time, bed ambulation time and hospital stay in the vaginal group and laparoscopic group were shorter than those in the open group (P <0.01) ). Conclusions Transvaginal and laparoscopic operations are minimally invasive surgery, but laparoscopic minimally invasive, quick, less bleeding, fewer complications, faster recovery, definite effect, shorter hospital stay, etc., are more prominent and worthy of clinical promotion.