国际妇产科学杂志

国际妇产科学杂志 ›› 2015, Vol. 42 ›› Issue (3): 286-287.

• 论著 • 上一篇    下一篇

阴式与腹腔镜下剔除子宫肌瘤的效果比较

胡玲玲，彭勃   

  1. 225009 江苏省扬州市，扬州东方医院妇科（胡玲玲）；盐城巿妇幼保健院妇产科（彭勃）
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-06-15 发布日期:2015-06-15
  • 通讯作者: 彭勃

Vaginal Myomectomy and Laparoscopic Myomectomy Treatment of Uterine Flesh Tumor Contrast Effect

HU Ling-ling，PENG Bo   

  1. Department of Gynecology，Yangzhou Dongfang Hospital，Yangzhou 225009，Jiangsu Province，China（HU Ling-ling）；Department of Obstetrics and Gynecology，Maternity and Child Care Centers，Yancheng 224000，Jiangsu Province，China（PENG Bo）
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-06-15 Online:2015-06-15
  • Contact: PENG Bo

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摘要： 目的：比较阴式子宫肌瘤剔除术与腹腔镜下子宫肌瘤剔除术治疗子宫肌瘤的临床效果。方法：选择2009年2月—2011年2月收治的80例子宫肌瘤患者，按照随机数字表法分为阴式组（40例）和腹腔镜组（40例）。对2组患者的手术创伤、术后疼痛率及术后病率进行比较分析。结果：2组患者的手术时间、术中出血量、术后肛门排气时间、术后疼痛率及术后病率比较，阴式组均优于腹腔镜组，差异均有统计学意义（P＜0.05）。结论：在选择正确的适应证条件下，阴式子宫肌瘤剔除术与腹腔镜下子宫肌瘤剔除术均是临床上安全有效的微创手术方式，但阴式子宫肌瘤剔除术具有创伤更小、术后疼痛轻且体表无瘢痕等优点。

关键词: 平滑肌瘤, 子宫肿瘤, 腹腔镜, 治疗

Abstract: Objective： To compare the clinical effects of uterine fibroids treated with transvaginal and laparoscopic hysteromyoma. Methods：80 patients with uterine fibroids from February 2009 to February 2011 were treated, according to the random number table they were divided into transvaginal groups（40 cases） and laparoscopic group（40 cases）. Two group of patients for surgical trauma, postoperative pain and postoperative morbidity rates were compared. Results：The operative time，blood loss，postoperative anal exhaust time，postoperative pain and postoperative morbidity rate of vaginal hysterectomy excision are better than laparoscopic myomectomy， the differences are statistical significant（P＜0.05）. Conclusions：On selecting the appropriate indications, vaginal hysterectomy excision and laparoscopic myomectomy are both safe and effective minimally invasive surgical clinic. But vaginal hysterectomy surgery is much better with the advantages of less trauma, lighter pain and postoperative pain surface without scars，etc.

Key words: Leiomyoma, Uterine neoplasms, Laparoscopes, Therapy