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目的探讨采用不同手术方式治疗育龄期妇女子宫肌瘤的临床疗效。方法将80例育龄期子宫肌瘤患者根据肌瘤的大小、位置及患者的意愿分为A、B、C 3组,A组采用经腹子宫肌瘤剔除(26例),B组经阴道子宫肌瘤剔除(27例),C组采用腹腔镜下子宫肌瘤剔除(27例),比较3组的临床疗效。结果 C组手术时间、出血量、肛门排气时间、住院时间少于A、B两组,住院费用高于A、B组(P<0.05);3组术后不良反应率分别为34.62%、51.85%、11.11%,C组低于A、B两组(P<0.05)。结论腹腔镜下剔除育龄期子宫肌瘤具有疗效好、创伤小、不良反应少的特点,对于具有腹腔镜手术适应证的子宫肌瘤患者采用腹腔镜手术剔除肌瘤具有广泛的应用前景。
Objective To investigate the clinical efficacy of different surgical methods for the treatment of uterine fibroids in women of childbearing age. Methods 80 cases of uterine leiomyoma patients of childbearing age were divided into A, B and C groups according to the size and location of fibroids and the wishes of patients. A group was treated by transvaginal uterine fibroids (26 cases) Myomectomy (27 cases), C group using laparoscopic myomectomy (27 cases), the clinical efficacy of the three groups were compared. Results The operation time, bleeding volume, anal exhaust time and hospital stay in group C were less than those in groups A and B, and the hospitalization costs were higher than those in groups A and B (P <0.05). Adverse reaction rates in group C were 34.62% 51.85% and 11.11%, respectively, while those in group C were lower than those in group A and B (P <0.05). Conclusion Laparoscopic removal of childbearing age uterine fibroids with good curative effect, less trauma, fewer adverse reactions, with laparoscopic indications for patients with uterine fibroids by laparoscopic surgery to remove fibroids has a wide range of applications.