腹腔镜和阴式子宫肌瘤剔除术疗效对比分析.docVIP

腹腔镜和阴式子宫肌瘤剔除术疗效对比分析 　　[摘要] 目的：比较腹腔镜与阴式子宫肌瘤剔除术的手术疗效，并对结果进行分析。方法：回顾性分析本院2007年9月～2010年9月就诊的62例子宫肌瘤患者，其中32例采用阴式子宫肌瘤剔除术治疗（阴式组），30例采用腹腔镜剔除术治疗（腹腔镜组），比较两组患者术中情况和术后情况。结果：在术后高烧和术后止痛剂的应用方面比较，两组差异无统计学意义（P＞0.05）；在手术时间、术后排气时间、住院时间三方面上，两组差异有统计学意义（P＜0.05），阴式子宫肌瘤剔除术比腹腔镜子宫肌瘤剔除术时间短；在剔除子宫肌瘤最大直径和术中出血量方面，两组患者间差异也有统计学意义(P＜0.05)，腹腔镜子宫肌瘤剔除术略优于阴式子宫肌瘤剔除术。结论：两种术式各有优缺点，各有其手术适应证。 　　[关键词] 子官肌瘤剔除术；阴式；腹腔镜；统计分析 　　[中图分类号] R737.33 [文献标识码]A[文章编号]1674-4721（2011）01（b）-026-03 　　 　　Comparative analysis of laparoscopic and vaginal hysteromyomectomy efficacy LIU Liping, XU Yanli,WU Mengxiang 　　(Shiyan Peoples Hospital of Baoan District in Shenzhen City, Guangdong Province, Shenzhen 518108, China） 　　[Abstract] Objective: To compare the laparoscopic and vaginal myomectomy in the surgical treatment, and the results were analyzed. Methods: A retrospective analysis of our hospital from September 2007 to September 2010 to our hospital between 62 patients with uterine fibroids, including 32 cases vaginal myomectomy therapy (vaginal group), 30 cases removed by laparoscopic surgery (laparoscopic group), two groups were compared intraoperative conditions and postoperative situation. Results: Postoperative fever and postoperative application of analgesics were no significant different (P0.05); the operation time, discharge time and hospital stay in three areas, the two groups was significant different(P＜0.05), operation time in vaginal myomectomy was shorter than laparoscopic myomectomy; in maximum diameter of uterine fibroids removed and blood loss, there was no significant difference between the two groups(P＜0.05), laparoscopic myomectomy was slightly better than vaginal myomectomy. Conclusion: The two procedures have advantages and disadvantages, and each has its surgical indications. 　　[Key words] Myomectomy uterus; Vaginal; Laparoscopy; Statistical analysis 　　 　　子宫肌瘤是常见的女性生殖器官良性肿瘤，有要求保留生育能力或完整子宫的子宫肌瘤患者常选择肌瘤剔除术[1]。子宫肌瘤剔除术在子宫完整的同时，还能维持其生理功能，保证妇女生育能力。近年来，微创手术得到了快速的发展，妇科疾病患者开始更关注自身生活质量，阴式、腹腔镜下子宫肌瘤剔除术的采用比例也随