论文部分内容阅读
目的探讨经阴道后穹窿路径阴式子宫肌瘤剔除术的安全性及临床应用价值。方法回顾性分析2011年12月至2016年6月在新疆医科大学第六附属医院住院进行子宫肌瘤剔除术患者资料,其中经阴道后穹窿路径阴式子宫肌瘤剔除术患者85例(阴式组),腹腔镜下子宫肌瘤剔除术98例(腹腔镜组),比较两种手术效果和术后恢复情况,并加以分析。结果阴式组在手术时间、术中出血量、术后排气时间、术后住院时间及VAS评分等方面与腹腔镜组比较,差异均有统计学意义(t值分别为4.303、3.182、2.776、2.571、4.541,均P<0.05)。结论根据适应证选择经阴道后穹窿行阴式子宫肌瘤剔除术是一种安全经济的手术方法,是一种值得临床上推广的微创手术。
Objective To investigate the safety and clinical value of transvaginal posterior fornix for vaginal myomectomy. Methods Retrospective analysis of patients with myomectomy at the sixth affiliated hospital of xinjiang medical university from December 2011 to June 2016 included 85 cases of vaginal myomectomy by vaginal fornix approach Group), laparoscopic myomectomy 98 cases (laparoscopic group), the two surgical effects and postoperative recovery were compared and analyzed. Results Compared with laparoscopic group, there were significant differences in the operation time, intraoperative blood loss, postoperative exhaust time, postoperative hospital stay and VAS scores (t = 4.303, 3.82, 2.76 , 2.571,4.541, all P <0.05). Conclusion According to the indications, vaginal fornix vaginal myomectomy is a safe and economical operation method, which is a minimally invasive surgery worthy of clinical promotion.