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目的:观察比较经腹腔镜和经阴式子宫肌瘤剔除术治疗子宫肌瘤的临床疗效。方法:将我院2009年～2011年收治确诊符合子宫肌瘤剔除指征的子宫肌瘤患者52例,随机分为A和B组,每组各26例,A组患者接受经腹腔镜子宫肌瘤剔除术治疗,B组患者经阴式子宫肌瘤剔除术治疗。观察并比较2组患者手术时间、术中出血量、术后肛门排气时间、术后体温恢复时间、术后住院时间和治疗效果。结果:治疗后2组治疗总有效率分别为92.3%和88.5%,无显著性差异(P>0.05),2组患者在术中出血量和体温恢复时间方面差异不显著(P>0.05),但B组在手术时间、术后肛门排气时间和住院时间方面显著低于A组(P<0.05),2组患者术后均未见明显的不良反应。结论:腹腔镜和经阴式子宫肌瘤剔除术治疗子宫肌瘤具有相同的治疗效果,但经阴式宫肌瘤剔除操作精确、快捷、适应证宽、价格低廉,临床应用中应根据实际情况选择。
Objective: To observe and compare the clinical efficacy of laparoscopic and vaginal myomectomy in the treatment of uterine fibroids. Methods: From 2009 to 2011, 52 cases of uterine leiomyoma diagnosed with myomectomy were enrolled in our hospital from 2009 to 2011. They were randomly divided into group A and group B, with 26 cases in each group. Patients in group A received laparoscopic myo- Tumor resection treatment, B group of patients with vaginal myomectomy. The operation time, intraoperative blood loss, postoperative anal exhaust time, postoperative body temperature recovery time, postoperative hospital stay and treatment effect were observed and compared. Results: The total effective rates of the two groups after treatment were 92.3% and 88.5% respectively, with no significant difference (P> 0.05). There was no significant difference between the two groups in the intraoperative blood loss and body temperature recovery time (P> 0.05) However, the operation time, postoperative anal exhaust time and hospital stay in group B were significantly lower than those in group A (P <0.05). No significant adverse reactions were observed in the two groups after operation. Conclusion: Laparoscopy and vaginal myomectomy for the treatment of uterine fibroids have the same therapeutic effect, but the vaginal myomectomy operation is accurate, fast, wide indications, low prices, clinical application should be based on the actual situation select.