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目的探讨腹腔镜辅助下阴式子宫肌瘤剔除术的临床应用价值。方法分析2006年7月至2008年7月我院120例行子宫肌瘤剔除术患者,其中采用腹腔镜辅助下阴式子宫肌瘤剔除术60例,腹腔镜下子宫肌瘤剔除术30例,阴式子宫肌瘤剔除术30例。对三组患者的术中、术后相关资料进行分析比较。结果腹腔镜辅助组具有手术时间短,术中出血量少、手术前后HGB差值大,术后病率低等特点,差异显著,(P<0.05),但腹腔镜组较其他两组术中出血量多,手术时间长,术后肌瘤复发率高,差异显著,(P<0.05)。结论腹腔镜辅助下阴式子宫肌瘤剔除术不仅具有腹腔镜手术及阴式手术共同的优点,而且较腹腔镜手术减少术中出血,缩短手术时间,减少术后复发,又避免了阴式手术处理附件较困难、对盆腔情况缺乏全面的评估等弊病,是一种更为理想的微创手术方式,值得临床推广应用。
Objective To investigate the clinical value of laparoscopic assisted vaginal myomectomy. Methods From July 2006 to July 2008, 120 patients underwent myomectomy in our hospital, including 60 cases of laparoscopic-assisted vaginal myomectomy, 30 cases of laparoscopic myomectomy, Vaginal myomectomy in 30 cases. The three groups of patients during surgery, postoperative related data were analyzed and compared. Results The laparoscopic auxiliary group had the characteristics of short operative time, less intraoperative blood loss, large HGB difference before and after operation, and low postoperative morbidity, but the difference was significant (P <0.05) The amount of bleeding, operation time is long, postoperative recurrence rate of fibroids, the difference was significant (P <0.05). Conclusion Laparoscopic assisted vaginal myomectomy not only has the advantages of laparoscopic surgery and vaginal surgery, and more than laparoscopic surgery to reduce intraoperative bleeding, shorten the operation time and reduce postoperative recurrence, but also to avoid the vaginal surgery Treatment of attachment is more difficult, the lack of a comprehensive assessment of pelvic defects and other ills, is a more ideal minimally invasive surgical approach, it is worth clinical application.