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目的分析比较阴式与腹腔镜下子宫肌瘤剔除术的临床疗效,为子宫肌瘤手术方式选择提供理论依据。方法选取符合标准的患者80例,随机分为观察组和对照组各40例,观察组应用阴式子宫肌瘤剔除术,对照组应用腹腔镜下子宫肌瘤剔除术,记录比较二者术中及术后情况。结果观察组患者手术时间、术后镇痛药物应用率及住院费用均少于对照组,差异有统计学意义(P<0.05),二者术中出血量、术后肛门排气时间、术后住院时间比较,差异无统计学意义(P>0.05)。术后均未出现膀胱、输尿管、肠管损伤及感染等并发症,观察组术后引流量(34.37±12.06)ml,对照组(38.30±12.23)ml,差异无统计学意义(P>0.05)。二组患者均术后随访6个月,临床症状均缓解。结论阴式与腹腔镜下子宫肌瘤剔除术各有优缺点,严格掌握手术适应证,根据患者实际情况选择手术方法。阴式子宫肌瘤剔除术手术时间短、术后疼痛轻、医疗花费少,更适合基层医院开展。
Objective To compare the clinical efficacy of vaginal and laparoscopic myomectomy, and to provide a theoretical basis for the choice of surgical method of uterine fibroids. Methods Totally 80 patients were selected and randomly divided into observation group and control group, 40 cases in each group. Negative myomectomy was performed in the observation group and laparoscopic myomectomy in the control group. And postoperative condition. Results The operation time, postoperative analgesic application rate and hospitalization cost in the observation group were less than those in the control group (P <0.05). The intraoperative blood loss, postoperative anal exhaust time, Hospitalization time, the difference was not statistically significant (P> 0.05). There was no complications of bladder, ureter, intestinal injury and infection after operation. The drainage volume in the observation group was (34.37 ± 12.06) ml and in the control group (38.30 ± 12.23) ml, the difference was not statistically significant (P> 0.05). Two groups of patients were followed up for 6 months, the clinical symptoms were relieved. Conclusions Both vaginal and laparoscopic myomectomy have their own advantages and disadvantages, strict indications of surgical indications, surgical methods according to the actual situation of patients. Vaginal myomectomy surgery short operative time, postoperative pain, medical spending less, more suitable for primary hospital.