摘要
目的探讨改良阴式子宫肌瘤剔除术在剖宫产术后子宫肌瘤患者中的应用价值。方法选择2008年2月～2012年5月本院接受改良阴式子宫肌瘤剔除术的剖宫产术后子宫肌瘤患者30例作为观察组,将同期无剖宫产术史在本院接受常规阴式子宫肌瘤剔除术的24例患者纳入对照组,比较手术效果和术后恢复情况。结果观察组30例患者手术顺利,无邻近重要脏器损伤等严重并发症,无盆腔感染及术后血肿形成;术后妇科B超随访,子宫恢复良好。两组患者平均手术时间、平均住院时间、术中出血量、体温恢复平均时间及肛门恢复排气时间比较,差异无统计学意义(P>0.05)。结论改良阴式子宫肌瘤剔除术对剖宫产术后子宫肌瘤患者手术效果好、术后并发症少,是一种值得推广的微创术式。
Objective To explore the value of modified transvaginal myomectomy in patients with cesarean section. Methods 30 patients with history of cesarean section and hysteromyoma received modified transvaginal myomectomy were included into the study group from February 2008 to May 2012.At the same time,24 patients with hysteromyoma who underwent tradlitional vaginal myomectomy were included into the control group.The effects of surgery and postoperative recovery were compared between the two groups. Results The operations were successful in the study group without important organ injury,pelvic infection and postoperative hematomas.All patients had a good recovery confirmed by gynecological B uhrasound.No significant difference was found in operation duration,intraoperative blood loss,hospitalized period,temperature renormal time and anal exhaust time between the two groups（P 〉 0.05）. Conclusion The modified transvaginal myomectomy can be performed in selected patients with minimum operative injury,low compliealions and good short-time effect,which is worthy to be popularized.
出处
《中国医药科学》
2013年第10期203-204,共2页
China Medicine And Pharmacy
