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目的评价两种微创子宫肌瘤剔除术的疗效及临床应用价值。方法回顾分析腹式子宫肌瘤剔除术80例(腹式组),腹腔镜子宫肌瘤剔除术45例(腹腔镜组),阴式子宫肌瘤剔除术40例(阴式组)的临床资料。对三组患者的手术时间、术中出血量、住院时间、术后排气时间、术后病率、住院费用进行对照分析。结果三组比较,手术时间差异无统计学意义(P>0.05);术中出血量、住院时间、术后排气时间腹式组较腹腔镜组及阴式组显著增多,差异有统计学意义(P<0.05);腹腔镜组术后病率较腹式组及阴式组明显降低,差异有统计学意义(P<0.05);阴式组与腹腔镜组比较,两组手术时间、术后排气时间、住院时间、术中出血量差异均无统计学意义(P>0.05);治疗费用明显少于腹腔镜组,差异有统计学意义(P<0.05)。结论微创子宫肌瘤剔除术具有创伤小、恢复快、术后并发症少等优点,具有良好的临床应用价值,两种术式不可替代。但从经济学角度出发,阴式手术更值得临床基层推广。
Objective To evaluate the efficacy and clinical value of two minimally invasive myomectomy. Methods The clinical data of 80 cases of abdominal myomectomy (abdominal group), 45 cases of laparoscopic myomectomy (laparoscopic group) and 40 cases of vaginal myomectomy (negative group) were retrospectively analyzed. . The operation time, intraoperative blood loss, hospitalization time, postoperative exhaust time, postoperative morbidity and hospitalization cost were compared between the three groups. Results There was no significant difference in operation time between the three groups (P> 0.05). The intraoperative blood loss, hospital stay and postoperative exhaust time in the abdominal group were significantly higher than those in the laparoscopic group and the vaginal group, the difference was statistically significant (P <0.05). The postoperative rate of laparoscopic group was significantly lower than that of abdominal group and vaginal group (P <0.05). Compared with laparoscopic group, the operation time and operation There was no significant difference in postoperative exhaust time, hospitalization time and intraoperative blood loss (P> 0.05). The cost of treatment was significantly less than that of laparoscopic group (P <0.05). Conclusion Minimally invasive myomectomy has the advantages of less trauma, faster recovery and fewer postoperative complications. It has good clinical value and can not be replaced by two kinds of surgical procedures. However, from an economic point of view, vaginal surgery is more worthy of promotion at the grassroots level.