两种方式手术治疗子宫肌瘤效果比较

目的 比较阴式子宫肌瘤剔除术（TVM）和传统开腹手术（TAM）治疗子宫肌瘤的效果.方法 70例子宫肌瘤患者随机分为两组,TVM和TAM.观察两组患者的手术时间、术中出血量、肛门排气时间和最高体温,统计术后病率和镇痛药应用情况.结果 TVM组的手术时间和肛门排气时间短于TAM组（P〈0.05）,TVM组手术出血量也少于TAM组（P〈0.05）.两组术后病率差异无统计学意义.TVM组镇痛药的应用率低于TAM组.结论 相比较于TAM,应用TVM治疗子宫肌瘤有更好的效果.

Clinical observation of vaginal myomectomy in 70 cases

Objective To investigate the efficacy of transvaginal myomectomy(TVM) and abdominal myo-mectomy(TAM) in treatment of hysteromyoma.Methods 70 patients with hystemmyoma were separated into 2 groups randomly.Patients in the control group received TAM and patients in the observe group were managed with TVM.The operation time,blood loss in operation,time of gas passage by anus and the highest temperature after opera-tion of the 2 groups were analyzed.The prevalence after operations and use rate of acesodyne were evaluated.Results The operation time,blood loss in operation,time of gas passage of TVM group were significantly lower than that of TAM group.The use rate of acesodyne in TAM group was significantly higher than that of TVM group(P<0.01).However,the difference of the prevalence after operations between two group was not significant(P>0.05).Conclu-sion Compared with TAM,TVM had better clinical effects in treating hysteromyoma.