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目的探讨阴式子宫肌瘤剔除术的可行性和安全性。方法回顾性分析北京协和医院2005年1月至2011年12月行阴式子宫肌瘤剔除术的49例患者的临床资料,记录患者手术适应证及围手术期相关参数。结果患者手术时间(64.8±20.2)min,术中失血量和住院时间分别为(75.6±56.6)mL、(4.8±1.6)d。其中6例(12.2%)患者出现术后病率,术后病率与手术创伤、手术时间、肿瘤大小呈显著相关性(P<0.01)。患者平均手术费用(796.6±320.1)元人民币,总医疗费用(4760.2±1094.6)元人民币。结论对适应证选择恰当的阴式子宫肌瘤剔除术是一种安全并且经济的手术方法。
Objective To investigate the feasibility and safety of vaginal myomectomy. Methods The clinical data of 49 patients who underwent vaginal myomectomy at Peking Union Medical College Hospital from January 2005 to December 2011 were retrospectively analyzed. The surgical indications and perioperative parameters were recorded. Results The operation time (64.8 ± 20.2) min, blood loss and hospital stay were (75.6 ± 56.6) mL and (4.8 ± 1.6) d, respectively. Postoperative morbidity was found in 6 patients (12.2%). The postoperative morbidity was significantly correlated with the surgical trauma, operation time and tumor size (P <0.01). The average operation cost of patients (796.6 ± 320.1) yuan, total medical expenses (4760.2 ± 1094.6) yuan. Conclusion Appropriate selection of indications for vaginal myomectomy is a safe and economical surgical method.