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目的:探讨3种子宫肌瘤剔除术的疗效与安全性。方法:将60例子宫肌瘤患者随机分为三组各20例,其中治疗组行阴道式手术治疗,对照组行腹腔镜术治疗,观察组行传统开腹术治疗。观察对比三组的手术时间、肠功能恢复时间、住院时间及术后并发症发生情况。结果:治疗组与对照组比较差异有显著性(χ2=3.89,P<0.05);治疗组与观察组比较差异有显著性(χ2=5.13,P<0.05);对照组与观察组比较差异有显著性(χ2=4.26,P<0.05)。结论:采用阴道式手术的手术时间、术中出血量、术后胃肠功能恢复时间及住院时间均优于其他两组,且具有微创、安全性高、并发症少、不影响美观、恢复快等优势,适合在基层医院推广应用。
Objective: To investigate the curative effect and safety of three types of myomectomy. Methods: 60 cases of uterine fibroids were randomly divided into three groups of 20 cases, of which the treatment group underwent vaginal surgery, the control group underwent laparoscopic surgery, the observation group underwent traditional laparotomy. The operation time, intestine function recovery time, hospitalization time and postoperative complication were compared between the three groups. Results: The difference between the treatment group and the control group was significant (χ2 = 3.89, P <0.05); the difference between the treatment group and the observation group was significant (χ2 = 5.13, P <0.05); there was significant difference between the control group and the observation group Significance (χ2 = 4.26, P <0.05). Conclusion: The operation time, intraoperative blood loss, postoperative gastrointestinal function recovery time and hospitalization time are better than the other two groups, and have the advantages of minimally invasive, high safety, less complications, no influence on appearance, recovery Fast advantages, suitable for promotion and application in primary hospitals.