96例经腹腔镜与经阴式子宫肌瘤剔除术的临床疗效.docVIP

精品论文 参考文献 96例经腹腔镜与经阴式子宫肌瘤剔除术的临床疗效 湖南省妇幼保健院 湖南长沙 410008 摘要：目的：探讨在妇科子宫肌瘤患者中运用经腹腔镜或经阴式子宫肌瘤剔除术的临床作用。方法：通过随机对照试验的方式将我院妇科近三年时间治疗的96例子宫肌瘤患者分组，A组48例选择经腹腔镜子宫肌瘤剔除术（LM）治疗，B组48例选择经阴式子宫肌瘤剔除术（VM）治疗，针对两组的临床手术情况作比较和评估。结果：在术中指标上，两组的肌瘤剔除数目比较相当，不具统计学意义（P＞0.05），但A组的手术用时相比B组明显缩短，术中出血量明显减少，有统计学意义（P＜0.05）；在术后指标上，相对B组而言，A组的术后排气功能恢复更快，下地活动时间与住院时间更短，但医疗费用更高，有统计学意义（P＜0.05）。在术后3、6个月的复查中，发现两组的术后残留率与复发率基本相近，不具统计学意义（P＞0.05）。结论：选择LM手术方案对子宫肌瘤患者进行治疗，总体效果要比VM手术更加理想，但易加重患者医疗负担，治疗时需视其情况合理选择。 关键词：妇科；子宫肌瘤；腹腔镜；经阴式子宫肌瘤剔除术；作用 Abstract Objective：To investigate the clinical effect of laparoscopic or transvaginal hysterectomy in the treatment of patients with gynecologic uterine fibroids.Methods：through randomized controlled trials will be my courtyard department of gynaecology nearly three years in the treatment of 96 cases of uterine fibroids patients were divided into two groups，a group of 48 cases with laparoscopic myomectomy（LM）treatment，group B 48 cases by vaginal myomectomy（VM）treatment，according to two groups of clinical surgery for comparison and evaluation.Results：during the operation indexes，two groups of myomas number is，was not statistically significant（P gt; 0.05），but a group of surgery when compared with group B significantly shortened，the bleeding was significantly reduced，statistical significance（P lt; 0.05）；in postoperative index，relatively B group，a group of postoperative exhaust function recovery faster，activity time and hospitalization time is shorter，but higher health care costs，have statistical significance（P lt; 0.05）.At 3 and 6 months after operation，the residual rate and recurrence rate of the two groups were similar，which was not statistically significant（P gt; 0.05）.Conclusion：the treatment of patients with uterine fibroids by LM operation is more satisfactory than that of VM，but it is easy to increase the medical burden of patients. [Keywords] Department of gynaecology；uterine myoma；Laparoscopy；Transvaginal Hysterectomy；role 子宫肌瘤是现代临床对一种良性肿瘤的统称，其主要发病于30~50岁青年女性，在育龄期妇女