腹腔镜辅助阴式复杂子宫肌瘤剔除术的可行性分析

目的探讨腹腔镜辅助阴式复杂子宫肌瘤剔除术的可行性。方法 2011年2月—2012年5月我院收治85例子宫肌瘤剔除手术患者,随机分成LAVM组（26例）、LM组、（28例）、TVM组（31例）。其中,LAVM组采取腹腔镜辅助阴式复杂子宫肌瘤剔除术,LM组采取腹腔镜子宫肌瘤剔除术,TVM组采取阴式子宫肌瘤剔除术,对比3组各项指标。结果 TVM组手术时间和住院时间较LM、LAVM组低,其中LM组手术时间最长,肛门排气时间TVM组低于LM、LAVM组,均存在统计学差异（均P〈0.05）。而中转开腹仅在LM组中出现。结论腹腔镜辅助阴式复杂子宫肌瘤剔除术,不仅可明显提升治疗效果,还可减少出血量以及肛门排气时间,安全性较好,值得临床推荐。

Feasibility analysis of complex laparoscopic assisted vaginal myomectomy surgery

Objective to study Feasibility analysis of complex laparoscopic assisted vaginal myomectomy （LAVM） surgery＇s feasibility. Methods From February 2011 to May 2012, a total of 85 patients in our hospital （location, quantity was more, the complexity of the large diameter fibroids） required surgery, uterine fibroids in digital method randomly divided into LAVM group （26 cases）, LMgroup （28 cases）, TVM group （31 cases）. The LAVM group was treated with complex laparoscopic assisted vaginal myomectomy, LM group adopt laparoscopic uterine fibroids rejecting, TVM group took Yin type uterine fibroids weed out, compared three groups of operation time.Results TVM group operation time and length of hospital stay compared with LM, LAVM was low, and the longest of LM group had statistical differences （P 〈 0.01）. Intraoperative blood loss and the anus exhaust time TVM under LM and LAVM group. LAVM and postoperative fever rate between the LM group, but significantly lower than TVM group, had statistical differences. Laparotomy only was happened in LM group. Conclusion complex laparoscopic assisted vaginal myomectomy has badge gen, safe, low recurrence matter, laparoscopic assisted vaginal type two technologies combined with expanded complex uterine muscle to eliminate cancer surgical indications, which is more ideal officer sectional plane surgery.