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目的探讨分析经阴道子宫肌瘤剔除术、开腹子宫肌瘤剔除术及腹腔镜下肌瘤剔除术的临床效果。方法对我院2001年1月至2009年12月150例子宫肌瘤剔除术的患者,其中腹腔镜下子宫肌瘤剔除术(LM)50例,传统开腹子宫肌瘤剔除术(TAM)50例,经阴道子宫肌瘤剔除(TVM)50例,对其中三组资料进行分析比较,分析三组手术时间、术中出血量、剔除肌瘤个数、住院时间及术后恢复情况。结果经阴道组及腹腔镜组在术中出血多于开腹组。结论经阴道子宫肌瘤剔除术剔除的肌瘤数目多,但其适应证较局限。经腹腔镜子宫肌瘤剔除具有创伤小,粘连少,但易致小的肌壁间肌瘤遗漏的特点。子宫肌瘤挖除手术方式的选择要在术前仔细评估,根据肌瘤的部位、肌瘤的数目和手术者的经验酌情选择合适的术式。
Objective To investigate the clinical effect of vaginal myomectomy, laparoscopic myomectomy and laparoscopic myomectomy. Methods 150 cases of myomectomy in our hospital from January 2001 to December 2009 were retrospectively analyzed. Among them, 50 cases of laparoscopic myomectomy (LM), 50 cases of traditional open laparoscopic myomectomy (TAM) 50 Cases, vaginal myomectomy (TVM) 50 cases, of which three groups of data were analyzed and compared to analyze the operation time of three groups, intraoperative blood loss, excluding the number of fibroids, hospital stay and postoperative recovery. Results Transvaginal group and laparoscopic group had more intraoperative bleeding than the open group. Conclusion The number of fibroids eliminated by vaginal myomectomy is more, but the indications are more limited. Laparoscopic myomectomy with traumatic small adhesions less, but easy to cause small muscle interstitial fibroids missing features. Selection of surgical methods of uterine fibroids should be carefully evaluated before surgery, according to the site of fibroids, the number of fibroids and the operator’s experience, as appropriate, choose the appropriate surgical procedures.