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目的比较经阴道子宫肌瘤剔除和腹腔镜子宫肌瘤剔除的临床效果。方法回顾分析2008年1月至2011年8月在我院采用经阴道或腹腔镜子宫肌瘤剔除术的患者共88例,其中经阴道子宫肌瘤剔除术42例(阴式组),腹腔镜子宫肌瘤剔除术46例(腹腔镜组),比较两组手术时间、术中出血量、剔除肌瘤个数、住院时间、术后恢复情况。结果两组手术时间、肌瘤大小、术后排气时间、住院天数比较差异无统计学意义(P>0.05);腹腔镜组术中出血量多于阴式组(P<0.05);阴式组术后病率多于腹腔镜组(P<0.05)。结论两种手术均属微创手术,不可完全互相替代,临床医生应根据自己的经验和手术适应证选择恰当术式。
Objective To compare the clinical efficacy of vaginal myomectomy and laparoscopic myomectomy. Methods A total of 88 patients with vaginal or laparoscopic myomectomy in our hospital from January 2008 to August 2011 were retrospectively analyzed. Among them, 42 cases were vaginal myomectomy (vaginal group), laparoscopy Myomectomy in 46 cases (laparoscopic group), the operation time, intraoperative blood loss, the number of fibroids removed, hospital stay, postoperative recovery. Results There was no significant difference in operative time, size of fibroids, postoperative exhaust time and days of hospitalization between the two groups (P> 0.05). The amount of bleeding in laparoscopic group was more than that in female group (P <0.05) Group postoperative morbidity than laparoscopic group (P <0.05). Conclusion Both of the two operations are minimally invasive surgery and can not completely replace each other. Clinicians should choose the appropriate surgical procedure according to their own experience and surgical indications.