腹腔镜与阴式子宫肌瘤剔除术临床效果对比分析

目的：探讨腹腔镜子宫肌瘤剔除术与阴式子宫肌瘤剔除术的临床效果。方法：139例子宫肌瘤患者被随机分为腹腔镜手术组（n=71）和经阴道手术组（n=68），腹腔镜手术组给予腹腔镜子宫肌瘤剔除手术方案，经阴道手术组给予阴式子宫肌瘤剔除手术方案。结果：两组在术后并发症、术后住院时间、术中出血等方面比较，差异无统计学意义（P〉0．05），但在手术时间和术后排气时间方面比较，差异有统计学意义（P〈0．05）。结论：两种手术方式各有自己的优势和局限，患者应该根据自身情况选择手术方式，以达到最佳的治疗效果。

The comparison analysis of clinical effect on laparoscopic myomectomy(LM)and transvaginal myomectomy(TVM)

Objective： To explore the curative effect of laparoscopic myomeetomy（LM） and transvaginal myomectomy （TVM）. Methods： 139 cases of patients with hysteromyoma were randomly divided into laparoscopy group （n=71） and vagina group （n=68）, laparoscopy group were given LM therapy, and vagina group were given TVM therapy. Results： The blooding during surgery, hospitalization and complications after surgery in two groups had no significant difference （P〉0.05）, but the surgery time and gas elimination showed significant difference （P〈0.05）.Conclusion： Both LM and TVM have each advantage and limitation, for best clinical effect, patients should choose surgery methods according to own condition.