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目的探讨分析子宫肌瘤的手术方式及相关因素。方法回顾性分析2010年6月至2014年6月间收治的90例接受子宫肌瘤剔除术患者的临床资料。按照随机数字表法将患者分为A组、B组与C组,每组30例,A组患者给予阴式剔除术,B组患者给予腹腔镜剔除术,C组患者给予腹式剔除术,观察三组患者的肌瘤情况、手术时间、术中出血量等临床指标。结果 A组患者与B组患者的肌瘤数目、最大肌瘤直径、肌壁肌瘤数目及浆膜下肌瘤数目差异无统计学意义(均P>0.05)。A组患者与C组患者的肌瘤数目、肌壁肌瘤数目及浆膜下肌瘤数目差异无统计学意义(均P>0.05)。A组患者与C组患者的最大肌瘤直径差异有统计学意义(P<0.05)。A组患者与B组患者的手术时间、术中出血量差异有统计学意义(均P<0.05)。A组患者与B组患者的术后排气时间、术后住院时间差异无统计学意义(P>0.05)。A组患者与C组患者的手术时间、术中出血量差异无统计学意义(均P>0.05)。A组患者与C组患者的术后排气时间、术后住院时间差异有统计学意义(均P<0.05)。结论阴式剔除术、腹腔镜剔除术以及腹式剔除术均可应用子宫肌瘤的手术治疗,只要掌握好其临床适应证均可取得显著的临床效果。
Objective To investigate the surgical methods and related factors of uterine fibroids. Methods The clinical data of 90 patients who underwent myomectomy were retrospectively analyzed from June 2010 to June 2014. The patients were divided into group A, group B and group C according to the random number table method, 30 cases in each group. The patients in group A received vaginal cuffing, the patients in group B received laparoscopic resection, the patients in group C received abdominal resection, Three groups of patients with fibroids, surgical time, intraoperative blood loss and other clinical indicators. Results There was no significant difference in the number of fibroids, the maximum diameter of myoma, the number of myoma and the number of subserosal fibroids between group A and group B (all P> 0.05). The number of fibroids, the number of myoma and the number of subserosal fibroids in group A and group C had no statistical significance (all P> 0.05). There was a significant difference in the maximum myoma diameter between group A and group C (P <0.05). There was significant difference in operation time and blood loss between group A and group B (all P <0.05). There was no significant difference in postoperative exhaust time and postoperative hospital stay between group A and group B (P> 0.05). There was no significant difference in operation time and blood loss between group A and group C (all P> 0.05). The postoperative exhaust time and postoperative hospital stay in group A and group C were significantly different (all P <0.05). Conclusion Vaginal excision, laparoscopic resection and abdominal resection can be treated with surgical treatment of uterine fibroids, as long as their clinical indications can obtain significant clinical results.