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目的:比较经阴道子宫肌瘤剔除术和腹腔镜下子宫肌瘤剔除术的临床应用效果。方法:将子宫肌瘤患者随机分成腹腔镜下子宫肌瘤剔除术组(A组80例)和经阴道子宫肌瘤剔除术组(B组80例),分析两组的手术时间、术中出血量、住院时间及术后肠道功能恢复情况。结果:术中出血量A组多于B组(P<0.05),手术剔除的子宫平滑肌瘤个数A组多于B组,两组的手术时间、术后肠道功能恢复及住院时间差异均未统计学意义(P>0.05)。结论:选择子宫肌瘤剔除术的术式要在术前认真分析,为术后康复创造有利条件。
Objective: To compare the curative effect of vaginal myomectomy and laparoscopic myomectomy. Methods: The patients with uterine fibroids were randomly divided into laparoscopic myomectomy group (80 cases in group A) and vaginal myomectomy group (80 cases in group B). The operation time, intraoperative bleeding Volume, hospital stay and postoperative recovery of intestinal function. Results: The intraoperative blood loss in group A was more than that in group B (P <0.05). The number of uterine leiomyomas removed in operation was more in group A than in group B. The operation time, postoperative intestinal function recovery and hospital stay were significantly different No statistical significance (P> 0.05). Conclusion: The choice of surgical myomectomy should be carefully analyzed preoperatively to create favorable conditions for postoperative rehabilitation.