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目的探讨经阴道子宫肌瘤剔除术的可行性和临床效果。方法对2008-01-2009-12漯河市第六人民医院经阴道子宫肌瘤剔除术患者14例(阴式组)及同期行开腹子宫肌瘤剔除术的患者14例(腹式组)进行配对设计,回顾分析临床资料,比较手术效果和术后恢复情况。结果两组平均手术时间、术中平均出血量、术后体温比较,差异无统计学意义(P>0.05);阴式组术后疼痛轻、肛门排气快、住院时间短,优于腹式组,差异有统计学意义(P<0.05)。结论经阴道子宫肌瘤剔除术是可行的,且与开腹子宫肌瘤剔除术相比,创伤小、无腹壁切口、康复快,是一种值得推广的微创术式。
Objective To investigate the feasibility and clinical effect of vaginal myomectomy. Methods From January 2008 to December 2009, 14 patients (vaginal group) and 14 patients (abdominal group) undergoing vaginal myomectomy at the sixth People’s Hospital of Luohe City were enrolled. Paired design, retrospective analysis of clinical data, compare the effect of surgery and postoperative recovery. Results There was no significant difference between the two groups in mean operative time, average intraoperative blood loss and postoperative body temperature (P> 0.05). In the negative group, the postoperative pain was light, the exhaust of the anus was fast, the hospitalization time was shorter than that of the abdominal Group, the difference was statistically significant (P <0.05). Conclusion Transvaginal myomectomy is feasible, and compared with open myomectomy, less trauma, no abdominal incision, fast recovery, is a worthy of minimally invasive surgery.