三种途径行子宫肌瘤剔除术156例对比分析.docVIP

三种途径行子宫肌瘤剔除术156例对比分析 　　摘要：目的探讨经阴道，经腹腔镜，经腹行子宫肌瘤剔除术的可行性、安全性及临床疗效。方法 选取我院2009年1月-2012年1月期间156例因患子宫肌瘤而子宫肌瘤剔除术的患者临床资料。按方式不同分为3组，即阴式剔除术组，腹腔镜剔除术组及腹式剔除术组，比较手术效果及术后恢复情况。结果平均手术时间，术中平均出血分别为（80±19）min、（350±60）ml；（82±20）min、（320±72）ml；（78±15）min、（380±71）ml；三组比较，均无显著性差异（P0.05）；而经阴道组，经腹腔镜组患者的术后排气时间（15.4±3.2）h，（13.6±3.0）d，术后平均住院时间（4.5±0.5）d，（3.5±0.5）d，均明显短于经腹组（29.5±5.0）h、（8.4±0.4）d。术后疼痛三组比较，差异亦有统计学意义（P 　　关键词：子宫平滑肌瘤；剔除术；手术途径 　　 　　Comparative Analysis of 156 Myomectomy in Three Ways 　　CHEN Man-xiuGAO Xiao-ping 　　(1.The Maternal and Child Health Hospital of Yiyang City,Hunan province,413000,China;2. The Maternal and Child Health Hospital of Ziyang City Yiyang, Hunan province,413001,China) 　　Abstract：Objective: To investigate feasibility, safty and clinical effect of vaginal myomectomy. Laparoscopic myomectomy and open myomectowy. Methods: The clinical data of 156 patients with fibroids had myomectomy from Jan 2009 to Jan 2012 were analysed. The patients were decided into three groups accroding to the surgical Pathway, namely VM (Vaginal myomectomy) group, LM (Laparoscopic myomectomy) group and OM,(open myomectomy) group. The effect of surgery and situation of recovery were compared among these three groups. Results: The operating time and blood loss among three groups were （80±19）min, （350±60）ml；（82±20）min；（320±72）ml；（78±15）min；（380±71）ml. None of which had significant difference（P0.05）. However, the mean time of postoperative fabulence and hospital stay in VM group （15.4±3.2）h，（13.6±3.0）d, Laparoscopic group of patients with postoperative exhaust time（4.5±0.5）d，（3.5±0.5）d were significantly shorter than those in OM group （29.5±5.0）h（8.4±0.4）d . The differences of postoperative pain time a mony three groups also had statistical significance. Accroding to the postoperative followed-up for an average of 5.8 months, all of the patients with emnorrhagia had been meliorated. Compared with the patient in OM group, those in VM group and LM group recovered in a shorter period of time a