阴式子宫肌瘤剔除术42例临床分析

目的 探讨子宫肌瘤经阴道剔除的临床效果。方法 将收治的79例具有子宫肌瘤剔除术指征的子宫肌瘤患者随机分为两组，A组42例行阴式子宫肌瘤剔除术，B组37例行腹式子宫肌瘤剔除术，分别对两组患者进行临床观察，比较术中、术后的情况。结果 阴式组比腹式组手术时间明显缩短（P〈0．05），术后疼痛明显减轻（P〈0．01），肛门排气早（P〈0．05），术后住院天数明显缩短（P〈0．05）。结论 阴式子宫肌瘤剔除术较腹式子宫肌瘤剔除术操作简单、手术副作用轻、患者损伤小、康复快。该手术无需昂贵的设备，在临床值得推广应用。

Clinical analysis in forty-two cases of the colpomyomectomy

Objective To assess the clinical effect of colpomyomectomy.Methods 79 hysteromyoma patients who had indication of myomectomy were randomized into two groups.One group(42 patients) received colpomyomectomy,the other group(37 patients) received celiomyomectomy.Observing the clinical effect of intraoperation and postoperation between the two groups respectively.Results Comparing the colpomyomectomy group and celiomyomectomy group,the former operation time reduced(P<0.05),postoperative pain relieved(P<0.01),anal exsufflation was earlier(P<0.05),postoperative hospitalization days shortened obviously(P<0.05).Conclusion Operation of the colpomyomectomy is simple,its side effect is slight,and damage for patient is small.Moreover,it need not expensive equipments,and to is worth clinically spreading.