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目的:评价腹腔镜与阴式子宫肌瘤剔除术的临床疗效。方法:回顾性分析2009年5月-2010年11月在我院收治的93例子宫肌瘤患者,随机分为腹腔镜子宫肌瘤剔除术47例(腹腔镜组)和阴式子宫肌瘤剔除术46例(阴式组),记录术中出血量,手术时间,术后肛门排气时间,术后病率,术后住院时间。比较两组临床疗效。结果:两组患者均手术成功,无一例中转开腹,阴式组手术时间明显短于对照组,差异具有统计学意义(P<0.05),而两组术中出血量比较,差异无显著性意义(P>0.05)。阴式组肛门排气时间较腹腔镜组显著缩短(P<0.05);而两组患者术后住院时间及术后病率比较,差异无统计学意义(P>0.05)。结论:两种子宫肌瘤剔除术各有优点和不足,应根据患者自身情况,严格掌握手术适应证及手术方式,以达到最佳治疗效果。
Objective: To evaluate the clinical efficacy of laparoscopic and vaginal myomectomy. Methods: A retrospective analysis of 93 cases of uterine fibroids admitted to our hospital from May 2009 to November 2010 were randomly divided into laparoscopic myomectomy (laparoscopic group) and vaginal myomectomy 46 cases (vaginal group), the amount of intraoperative blood loss, operation time, postoperative anal exhaust time, postoperative morbidity, postoperative hospital stay. The clinical efficacy of the two groups were compared. Results: The operation of both groups was successful. None of the patients were converted to laparotomy. The operation time of the vaginal group was significantly shorter than that of the control group (P <0.05), while there was no significant difference between the two groups Significance (P> 0.05). Compared with the laparoscopic group, the evacuating time in the vaginal group was significantly shorter than that in the laparoscopic group (P <0.05). There was no significant difference in postoperative hospital stay and postoperative morbidity between the two groups (P> 0.05). Conclusion: The two myomectomy have their own advantages and disadvantages, according to the patient’s own situation, strictly control the surgical indications and surgical methods in order to achieve the best therapeutic effect.