摘要
目的 探讨经阴道子宫肌瘤剔除术的临床应用价值。方法回顾性分析 2 0 0 2 -0 5～ 2 0 0 3 -115 1例子宫肌瘤剔除 2 3例行经阴子宫肌瘤剔除术 (阴式组 ) ,与 2 8例行传统腹式子宫肌瘤剔除术作比较 (开腹组 )。结果 阴式组手术时间 ( 5 5± 19)min ,开腹组手术时间 ( 5 9± 2 1)min ,两组手术时间差异无显著性 (P >0 0 5 ) ;阴式组出血量 ( 160± 40 )ml,开腹组出血量 ( 190± 60 )ml,两组出血量对比差异有显著性 (P <0 0 5 ) ;术后肛门排气时间 ,阴式组 ( 2 5 43± 2 46)h ,开腹组 ( 3 7 86± 6 65 )h ;阴式组的术后排气时间明显短于开腹组 (P <0 0 1) ;术后 3d平均体温阴式组 ( 3 7 5 0± 0 2 2 )℃ ,开腹组 ( 3 8 2 0± 0 3 6)℃ ,两组差异有极显著性 (P <0 0 1) ;术后住院天数 ,阴式组 ( 4 5 3± 0 5 1)d ,开腹组 ( 6 3 8± 0 62 )d ,两组差异有极显著性 ( P <0 0 1)。结论 经阴道子宫肌瘤剔除术创伤小 ,术中出血少。腹部无疤痕 ,术后恢复快 ,不需要昂贵复杂设备等优点 。
Objective To assess the clinical value of hysteromyomectomy via vagina. Methods The clinical data of 51 patients underwent hysteromyomectomy were analyzed retrospectively, 23 patients of which received hysteromyomectomy via dvagina (group I), and 28 patients received traditional hysteromyomectomy via laparotomy (group II). Results The operative time of two groups was not significantly different(P>0 05). The blood loss in group I (160±40ml)was significantly less than that in group II(190±60ml)(P<0 05). The postoperative relief-bowel time in group I(25 43±2 46hr) was significantly shorter than that in group II(37 86±6 65hr). The mean body temperature of three days of post-operation in group I(37 50±0 22℃) was significantly lower than that in group II (38 20±0 36℃)(P<0 01). The hospitalized days in group I(4 53±0 51d) was significantly shorter than that in group II(6 38±0 62d). Conclusion Hysteromyomectomy via vagina has the advantages of less operative trauma, less blood loss, rapid recovery, no abdomen scar and no requirement of expensive or complicated apparatus, thus it is suitable to be generalized in all hospitals
出处
《中国医师杂志》
CAS
2004年第7期923-924,共2页
Journal of Chinese Physician
