【摘要】 目的 观察两种微创性子宫肌瘤剔除方法的临床效果，进一步探讨一种更好的临床微创治疗子宫肌瘤并保留子宫的手术方法。方法 随机选择同期同样条件下腹腔镜辅助下经阴子宫肌瘤剔除术(LAVM)36例与腹腔镜下子宫肌瘤剔除术(LAM)33例进行比较，观察临床效果。结果 两组在手术时间，术中出血量，中转开腹率，差异有显著性(P<0.01)，经阴子宫肌瘤剔除术组手术时间短，术中出血少，无一例中转开腹，达到了最佳微创目的，术后病人恢复快，并发症少。结论 腹腔镜辅助下经阴子宫肌瘤剔除术是一种更为理想的保留子宫的手术方法，能够做到微创、安全，术后易恢复。但要求具备一定经阴操作的手术经验和技巧。

    【关键词】 腹腔镜；经阴子宫肌瘤剔除术；微创

    Clinical observation of laparoscopically assisted transvaginal myomectomy

    CUI Li-xin，LI Feng-ling，WANG Yu-zhi，et al.Dezhou Municipal Hospital，Shandong 253012，China

    【Abstract】 Objective To observe the clinical efficacy of two approaches of minimally invasive myomectomy and to further investigate a better minimally invasive surgical method to treat uterine myoma with reservation of uterus.Methods 36 patients who were performed LAVM and 33 patients who were performed LAM during the same period and under the same conditions were compared and clinical efficacy was observed.Results Between the two groups ......