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目的分析与研究经阴道、腹腔镜及开腹子宫肌瘤剔除术的临床疗效。方法回顾性分析120例经阴道、腹腔镜及开腹子宫肌瘤剔除术患者的临床资料,其中经阴道组、腹腔镜组以及开腹组各40例。对比三组患者术前术后血红蛋白差值、术中出血量、手术时间、术后住院时间以及术后肛门排气时间。结果经阴道组患者手术时间明显短于开腹组与腹腔镜组,差异具有统计学意义(P<0.05)。经阴道组与腹腔镜组术前术后血红蛋白差值、术中出血量、术后住院时间以及术后肛门排气时间,差异无统计学意义(P>0.05);经阴道组与腹腔镜组术前术后血红蛋白差值、术中出血量、术后住院时间以及术后肛门排气时间均优于开腹组,差异具有统计学意义(P<0.05)。结论经阴道子宫肌瘤剔除术的临床疗效最佳,值得在临床治疗中推广使用。
Objective To analyze and study the curative effect of transvaginal, laparoscopic and open myomectomy. Methods Retrospective analysis of 120 cases of vaginal, laparoscopic and open myomectomy in patients with clinical data, including transvaginal group, laparoscopic group and open group of 40 cases. The differences of hemoglobin before operation, postoperative blood loss, operation time, postoperative hospital stay and postoperative anal exhaust time were compared between the three groups. Results The operation time of transvaginal group was significantly shorter than that of open group and laparoscopic group, the difference was statistically significant (P <0.05). The differences of hemoglobin, blood loss, postoperative hospital stay and postoperative anal exhaust time between the vaginal group and laparoscopic group were not statistically significant (P> 0.05). The transvaginal group and laparoscopic group Preoperative and postoperative hemoglobin difference, intraoperative blood loss, postoperative hospital stay and postoperative anal exhaust time were better than the open group, the difference was statistically significant (P <0.05). Conclusion The curative effect of transvaginal myomectomy is the best and worth to be popularized in clinical treatment.