摘要
目的:探讨腹腔镜肌瘤切除术(laparoscopic myomectomy,LM)与经阴道子宫肌瘤切除术(vaginal myomectomy,VM)治疗宫颈肌瘤的临床疗效。方法:选取100例宫颈肌瘤患者,随机分为LM组(n=50)与VM组(n=50)。LM组患者行腹腔镜肌瘤切除术,VM组行经阴道子宫肌瘤切除术。比较两组患者手术时间、术中出血量、肌瘤数量、肌瘤最大直径、肛门排气时间、术后住院时间及住院费用。结果:VM组患者手术时间、术中出血量、肛门排气时间、术后住院时间及住院费用明显少于LM组,两组相比差异有统计学意义(P<0.05);两组患者肌瘤数量及肌瘤最大直径差异无统计学意义(P>0.05)。结论:两种术式治疗宫颈肌瘤均安全、可行,但VM较LM更具微创意义。
Objective： To evaluate the efficacy of laparoscopic myomectomy （LM） and vaginal myomectomy （VM） for cervical myoma. Methods ： One hundred patients with cervical fibroids were randomly divided into LM group （ n = 50） and VM group （ n = 50）. LM was used in LM group and VM was used in VM group. The operative time, amount of bleeding, number of fibroids, maximum diameter of fibroids, postoperative exhaust time, hospital stay and hospitalization expense were compared between the two groups. Results ： The operative time, amount of bleeding, postoperative exhaust time, hospital stay and hospitalization expense of VM group were significantly less than those of LM group （ P 〈 0.05 ）. The number of fibroids and maximum diameter of fibroids were not statistically different between the two groups （ P 〉 0.05 ）. Conclusions ： LM and VM for cervical myoma is safe and feasible, but VM is more minimally invasive than LM.
出处
《腹腔镜外科杂志》
2015年第12期909-911,共3页
Journal of Laparoscopic Surgery
关键词
宫颈肿瘤
肌瘤切除术
腹腔镜检查
子宫切除术
阴道式
疗效比较研究
Uterine cervical neoplasms
Myomectomy
Laparoscopy
Hysterectomy, vaginal
Comparative effectiveness research
