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阴式与腹式子宫肌瘤挖除术临床比较
引用本文:马庆良,张羽,周洁如.阴式与腹式子宫肌瘤挖除术临床比较[J].上海医学,2005,28(2):119-121.
作者姓名:马庆良  张羽  周洁如
作者单位:200001,上海第二医科大学附属仁济医院妇产科
摘    要:目的 评价和比较阴式与腹式子宫肌瘤挖除术的临床效果。方法 选择 2003 年 12 月~2004 年8月在我科行阴式子宫肌瘤挖除术的患者22例(阴式组),与同期行腹式子宫肌瘤挖除术的 35 例(腹式组)进行比较,评价两组的临床效果。结果 两组出血量的差异无显著性(P>0.05),阴式组的手术时间、术后住院时间及术后排气时间明显短于腹式组(P<0.05)。结论 阴式子宫肌瘤挖除术与腹式子宫肌瘤挖除术相比,具有一定优点,值得临床推广。

关 键 词:腹式  阴式  子宫肌瘤挖除  临床比较  临床效果  住院时间  术后排气时间  显著性  优点  方法选择

Comparison of the clinical efficacy of vaginal and abdominal myomectomy for uterine myoma
MA Qingliang,ZHANG Yu,ZHOU Jieru.Comparison of the clinical efficacy of vaginal and abdominal myomectomy for uterine myoma[J].Shanghai Medical Journal,2005,28(2):119-121.
Authors:MA Qingliang  ZHANG Yu  ZHOU Jieru
Institution:MA Qingliang,ZHANG Yu,ZHOU Jieru. Department of Obstetrics and Gynecology,Renji Hospital,Shanghai Second Medical University,Shanghai 200001,China
Abstract:Objective To assess and compare the clinical efficacy of vaginal and abdominal myomectomy for uterine myoma. Methods 22 patients with uterine myomas who received vaginal myomectomies in our Department of Gynecology from December 2003 to August 2004 were assessed, 35 cases who received routine abdominal myomectomies during the same period were taken as controls. The differences of clinical efficacy were analyzed. Results There was no significant difference of blood loss between the two groups (P> 0.05). However, the operation duration, the duration of hospitalization after operation and flatus from anus in the vaginal myomectomy group were significantly shorter than those in the abdominal myomectomy groups (P< 0.05). Conclusions Vaginal myomectomy has some advantages over abdominal myomectomy, worthy to be recommanded
Keywords:Uterine neoplasms  Leiomyoma  Gynecologic operative technique
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