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目的比较经阴道子宫肌瘤剔除术(TVM)和腹部子宫肌瘤剔除术(TAM)之间的结果,并提供有价值的信息选择子宫肌瘤切除术的术式。方法比较54例腹部子宫肌瘤剔除术(TAM)和60例经阴道子宫肌瘤剔除术(TVM)的结果,包括手术时间、出血量、手术后排气时间、住院时间和盆腔感染率。结果经阴道组平均手术时间(58.3±7.7)min,显著缩短(P<0.05),TVM组的术中平均出血量(96.5±17.8)ml少于TAM组(112.4±30.7)ml(P<0.05),术后排气时间TVM组(18.9±6.8)h比TAM组(25.1±7.1)h短,住院时间TVM组(6.5±1.3)d和TAM组(8.9±1.4)d比较亦差异有统计学意义(P<0.05)。但TVM组盆腔感染率(18.3%)高于TAM组(3.7%),相比差异有统计学意义(P<0.05)。结论经阴道子宫肌瘤剔除术具有微创,出血少,术后恢复快,住院时间短。然而这两种方法有各自的优点和适应症,它们不能完全替代对方。
Objective To compare the results between transvaginal myomectomy (TVM) and abdominal myomectomy (TAM) and to provide valuable information on the choice of myomectomy. Methods The results of 54 cases of TAM and 60 cases of vaginal myomectomy (TVM) were compared, including operation time, bleeding volume, postoperative exhaust time, hospital stay and pelvic infection rate. Results The mean operative time in transvaginal group was significantly shorter than that in TAM group (58.3 ± 7.7) min (P <0.05). The mean intraoperative blood loss in TVM group was 96.5 ± 17.8 ml (112.4 ± 30.7) ml ), The duration of postoperative exhaust time in TVM group (18.9 ± 6.8) h was shorter than that in TAM group (25.1 ± 7.1) h, there was statistically significant difference in TVM group (6.5 ± 1.3) d and 8.9 ± 1.4 Significance (P <0.05). However, the pelvic infection rate (18.3%) in TVM group was higher than that in TAM group (3.7%), the difference was statistically significant (P <0.05). Conclusion Transvaginal myomectomy with minimally invasive, less bleeding, fast recovery, shorter hospital stay. However, these two methods have their own advantages and indications, they can not completely replace each other.