经阴道与腹腔镜子宫肌瘤剔除术的临床效果分析

目的 比较经阴道子宫肌瘤剔除和腹腔镜子宫肌瘤剔除的临床效果.方法 回顾分析2008年1月至2011年8月在我院采用经阴道或腹腔镜子宫肌瘤剔除术的患者共88例,其中经阴道子宫肌瘤剔除术42例(阴式组),腹腔镜子宫肌瘤剔除术46例(腹腔镜组),比较两组手术时间、术中出血量、剔除肌瘤个数、住院时间、术后恢复情况.结果 两组手术时间、肌瘤大小、术后排气时间、住院天数比较差异无统计学意义(P>0.05);腹腔镜组术中出血量多于阴式组(P<0.05);阴式组术后病率多于腹腔镜组(P<0.05).结论 两种手术均属微创手术,不可完全互相替代,临床医生应根据自己的经验和手术适应证选择恰当术式.

Clinical effect of between myomectomy under transvaginal and laparoscopic

Objective To compare clinical effects of vaginal myomectomy and laparoscopic myomectomy.Methods Retrospective analysis the patients in our hospital with vaginal or laparoscopic myomectomy between Jan 2008 to Aug 2011,the total was 88 cases,among the total,vaginal myomectomy was 42 cases(vaginal group),laparoscopic myomectomy was 46 cases(laparoscopic group),compared operative time,blood loss,number of fibroids cut,length of hospital stay,postoperative recovery.Results There were no significant difference of operative time,fibroid size,time of evacuate and length of hospital stay(P>0.05).However,there was more blood loss in laparoscopic group(P<0.05).The postoperative morbidity in vaginal group was more than laparoscopic group(P<0.05).Conclusion Both of them are minimally invasive surgery,and can not completely replace each other,clinicians should be based on their own experience and the appropriate surgical indications to choose the better one.