经腹腔镜和经阴道子宫肌瘤剔除术临床效果对比分析

目的 探讨经腹腔镜子宫肌瘤剔除术（LM）与经阴道子宫肌瘤剔除术（TVM）2种手术方式的临床特点及应用价值。方法 选取2011年1月至2013年5月在该院行子宫肌瘤剔除术患者108例，分为LM组55例和TVM组53例。LM组行经LM治疗，TVM组行TVM治疗，观察两组患者手术时间、术中出血、术后疼痛、住院时间及术后并发症等指标。结果 两组患者手术时间、术中出血量、肠功能恢复时间等比较，差异均有统计学意义（P＜0.05）；两组患者住院时间、术后镇痛率、肌瘤数目及最大直径、并发症发生率等比较，差异均无统计学意义（P＞0.05）。结论 2种手术均有优缺点和局限性，临床医生应根据患者的个体情况采用适合的手术方式，以获得最佳治疗效果。

Comparative analysis of the clinical effect of transvaginal myomectomy and laparoscopic myomectomy

Objetive To study the clinical characteristics and application value of laparoscopic myomectomy （LM） and transvaginal myomectomy（TVM）. Methods A total of 108 patients with myomectomy in the hospital from January 2011 to May 2013 were divided into LM group（n=55） and TVM group（n=53）. The LM group was treated with LM,while the TVM group received TVM. To observe the duration of operation,hemorrhage during operation,post-operation pain, length of stay（LOS）,post-operation complications and so on. Results The comparison on duration of operation,hemorrhage during operation,recovery time of intestinal function and so on between the two groups had statistically significant difference （P〈0.05）,but there was no statistically significant difference between the two groups on LOS,postoperative analgesic rate,the number of fibroids,maximum diameter,com plication rate and so on（P〉0.05）. Conclusions Both operation methods have advantages,disadvantages and limitations,so doctors should develop appropriate surgical approach based on the patient′s individual differences in order to achieve the best therapeutic effect.