经阴道与腹腔镜子宫肌瘤剔除术的临床疗效对比分析

目的探讨经阴道与腹腔镜子宫肌瘤剔除术的临床疗效。方法对我院2008年1月至2011年1月收治的子宫肌瘤患者临床治疗病例进行抽样,将100例子宫肌瘤患者病例按照抽签法随机分为对照组与治疗组,每组50例。对照组腹腔镜子宫肌瘤剔除术,观察组采用经阴道子宫肌瘤剔除术。观察两组患者疗效与术后恢复情况。结果两组子宫肌瘤患者经过治疗之后,治疗组手术时间、术中出血量、剔除肌瘤数量均明显优于对照组,而且并发症出现率较对照组也有明显降低。两组子宫肌瘤患者临床治疗效果具有显著差异性,具备统计学意义(P<0.05)。结论子宫肌瘤患者采用经阴道子宫肌瘤剔除术治疗的临床疗效明显优于腹腔镜子宫肌瘤剔除术治疗的临床疗效,而且术中出血量少、手术时间短、剔除肌瘤数量高等优点,不过腹腔镜子宫肌瘤剔除术创口极小,术后粘连情况非常少,适用于浆膜下子宫肌瘤剔除,在临床应用时,需要结合实际情况进行选择。

Clinical Efficacy Comparative Analysis of Transvaginal and Laparoscopic Uerine Fibroids Eliminate

Objective Explore the vagina and the clinical curative effect of laparoscopic uterine ifbroids rejecting operation.Methods In our hospital in January 2008 to January 2011, patients with uterine ifbroids clinical cases of sampling, 100 cases of myoma of uterus in accordance with the draw method were randomly divided into control group and treatment group, 50 cases in each group. Laparoscopic uterine fibroids eliminate, control group using transvaginal uterine ifbroids weed out. Observe two groups of patients with curative effect and postoperative recovery.Results Two groups of patients with uterine ifbroids after treatment, the treatment group operation time, intraoperative blood loss, eliminate ifbroid quantity is better than the control group, but also had signiifcantly lower complication rate than the control group.Two groups of patients with uterine ifbroids clinical treatment effect has signiifcant differences, with statistical signiifcance（P〈0.05）.Conclusion Patients with uterine ifbroids using transvaginal uterine ifbroids weed out the clinical curative effect of treatment is superior to the laparoscopic uterine ifbroids weed out the clinical curative effect of treatment, and less intraoperative blood loss, shorter operation time, eliminate ifbroid higher number, but laparoscopic uterine myoma eliminating minimal wound, postoperative adhesion is very less, suitable for subserosal hysteromyoma, in clinical application, need combined with the actual situation to choose.