摘要
目的探讨阴式子宫肌瘤剔除术的可行性、临床效果和安全性。方法回顾性分析2003年1月至2005年6月间我院阴式子宫肌瘤剔除术患者40例(阴式组)、同期腹式子宫肌瘤剔除术患者40例(对照组)及腹腔镜肌瘤剔除术患者40例的临床资料,比较手术效果和术后恢复情况。结果平均手术时间、术中平均出血量阴式组为(56±17)m in、(199±109)m l,腹式组为(57±20)m in、(169±136)m l、腹腔镜组为(73±31)m in、(139±95)m l,3组比较,差异均有统计学意义(P<0.05)而阴式组患者术后的平均排气时间(1.6±0.6)d,术后平均住院时间(4.3±0.6)d,明显短于对照组腹式组(1.7±0.8)d、(6.5±1.3)d和腹腔镜组(1.4±0.7)d、(5.6±1.2)d,3组比较,差异有统计学意义(P<0.05)。结论阴式子宫肌瘤剔除术手术效果好,创伤小,手术并发症少,康复快,是一种值得推广的微创手术。
Objective To evaluate the feasibility, Clinical effect and safety of vaginal myomectomy. Method From January 2003 to June 2005,40 cases treated by vaginal myomectomy were analyzed as the study group, and 40 cases treated by abmdominal myomectomy and 40 cases treated by lyparascopy myomectomy during the same period in our hospital were selected as the control group. Effects of operation and recovery of three groups were compared. Restilts There were no significant differences in the mean operating time, blood loss during operation between the study group, （56 ± 17） minutes, （ 199 ± 109） ml and abdominal myomectomy （ 57 ± 20） min, （ 169± 136 ） ml, lyparascopy myomectomy （73 ± 31 ） min, （139 ± 95 ） ml. In the study group, the mean recovery time of bowel function （1.6 ± 0.6 ） d home and average postoperative hospital stay （4.3 ±0. 6 ） days, were shorter than that of in the control group. Abdominal myomectomy （ l. 7 ± 0.8） days, （6.5 ± 1.3 ） days, lyparascopy alyomectomy （ 1.4 ±0, 7 ） days, （ 5.6 ± 1.2） days. For three groups, menorrhagia were relieved after six months＇ follow-up, patients in the study group recovered more rapidly and felt more satisfied with the effect of operation than those in the control group. Conclusion Vaginal myomectomy can be performed in selected patients with minimum operative injury, lower complications and better short short-time effect.
出处
《中国临床保健杂志》
CAS
2006年第3期226-228,共3页
Chinese Journal of Clinical Healthcare
关键词
子宫肌瘤
子宫切除术
阴道式
对比研究
Uterine neoplasms
Hysterectomy, vaginal
Comparative study
