摘要
目的:比较经阴道子宫肌瘤剔除术与腹腔镜下子宫肌瘤剔除术治疗子宫肌瘤的效果。方法:168例子宫肌瘤患者随机分为两组:阴式组96例和腹腔镜组72例。阴式组采用经阴道子宫肌瘤剔除术;腹腔镜组采用腹腔镜下子宫肌瘤剔除术。结果:阴式组手术时间为(52.3±10.5)min,腹腔镜组手术时间为(116.7±20.8)min,两组比较,差异有统计学意义(P<0.05);阴式组肌瘤重量明显重于腹腔镜组(P<0.05);腹腔镜组手术术后病率、排气时间、住院时间均明显低于阴式组(P均<0.05);术后腹腔镜组妊娠10例(55.6%),阴式组妊娠4例(40.0%),两者比较,差异有统计学意义(P<0.05)。结论:经阴道子宫肌瘤剔除术与腹腔镜下子宫肌瘤剔除术治疗子宫肌瘤疗效相当。而对仅需保留子宫不需要生育的患者行经阴道子宫肌瘤剔除术比较好;对要求生育、子宫肌瘤合并有粘连的患者建议行腹腔镜下子宫肌瘤剔除术。
Objective：To compare the effect of transvaginal myomectomy to that laparoscopic treatment of fibroid. Methods： One hundred and sixty eight fibroid patients divides into two groups stochastically： transvaginal group （96 examples） and laparosopic group （72 examples）. The transvaginal group used after the vagina fibroid rejects the technique;The laparoscopic group used under the peritoneoscope the fibroid to reject the technique. Results： The surgery time in transvaginal group was （52.3±10.5）rain while that in the laparoscopic group was （116.7±20. 8）min. The difference between two groups was statistics significance （P〈0.05） ; transvaginal group myoma weight obviously more in laparoscopic group（P〈0.05） ;After the laparoscopic group surgery technique, the sick rate, exhaust time, the being hospitalized time were obviously lower than that in transvaginal group （P〈0.05）. After the technique, in laparoscopic group pregnancy present in 10 example （55. 6%） and 4 （40.0%）in transvaginaly group,and the difference had statistics significance（P〈0.05）. Conclusion：Under the laparoscopic fibroid rejects the technique treatment fibroid to have good curative effect, the wound slightly, restores, the abdomen quickly does not have merits and so on margin. But to only must retain the patient who the womb does not need to give birth to pass by the vagina fibroid to reject the technique quite to be good;To requests to give birth,the fibroid merge has the adhesion patient to suggest under the good laparoscopic the fibroid rejects the technique.
出处
《实用临床医学（江西）》
CAS
2006年第11期125-127,共3页
Practical Clinical Medicine
