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目的分析经阴手术、腹腔镜、经腹治疗子宫肌瘤的优缺点。方法将126例子宫肌瘤患者分为阴式剔除术46例(A组)、腹腔镜剔除术38例(B组)、经腹剔除术42例(C组),比较3种术式术中出血量、手术效果、住院时间、手术并发症等。结果 A组在术中出血、肛门排气时间、住院时间均优于B、C组,差异有统计学意义(P<0.05)。结论经阴子宫肌瘤剔除术具有安全可靠的特点、微创恢复快的优点。
Objective To analyze the advantages and disadvantages of transvaginal surgery, laparoscopy and transabdominal treatment of uterine fibroids. Methods 126 cases of uterine fibroids were divided into three groups: 46 cases of AEG (group A), 38 cases of laparoscopic resection (group B) and 42 cases of cystectomy (group C) Bleeding, surgical effects, length of stay, surgical complications and more. Results In group A, hemorrhage during operation, anal exhaust time and hospital stay were all better than those in group B and C (P <0.05). Conclusions Transvaginal myomectomy has the characteristics of safety and reliability and the advantage of minimally invasive recovery.