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目的研究比较阴式子宫肌瘤剔除术与腹式子宫肌瘤剔除术的疗效和可靠性。方法选择2011年7月~2013年7月本科收治的子宫肌瘤患者96例,随机分成对照组和观察组48例,对照组患者使用腹式子宫肌瘤剔除术,观察组使用阴式子宫肌瘤剔除术,比较两组手术时间、出血量、排气时间、术后镇痛率和盆腔感染率。结果观察组手术时间、排气时间短于对照组、观察组出血量少于对照组,观察组术后镇痛率和盆腔感染率低于对照组,差异具有统计学意义(P<0.05)。结论阴式子宫肌瘤剔除术具备手术创伤小、功能恢复快、疼痛轻、可靠性高和术后美观的优势,疗效优于腹式子宫肌瘤剔除术。
Objective To compare the efficacy and reliability of vaginal myomectomy and abdominal myomectomy. Methods 96 cases of uterine fibroids admitted to our hospital from July 2011 to July 2013 were randomly divided into control group and observation group, 48 cases in control group were treated by abdominal myomectomy and vaginal myometrium Tumor resection was performed. The operation time, bleeding volume, exhaust time, postoperative analgesia rate and pelvic infection rate were compared between the two groups. Results The operation time and evacuation time in the observation group were shorter than those in the control group. The bleeding volume in the observation group was less than that in the control group. The postoperative analgesic rate and pelvic infection rate in the observation group were lower than those in the control group. The difference was statistically significant (P <0.05). Conclusions Vaginal myomectomy has the advantages of small operation trauma, quick recovery of function, light pain, high reliability and good appearance. The curative effect is better than abdominal myomectomy.