腹腔镜与阴式子宫肌瘤剔除术疗效对比分析(1)
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2011年1月15日
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[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 People's 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 (P>0.05); 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患者健康观念的转变而逐渐增加[2-3]。两种术式均是合理的选择，各有利弊，临床上具体采用何种术式主要取决于手术者的意愿。为了进一步明确以上两种术式的优缺点，指导临床术式的选择，现将2007年1月～2010年1月间在本院采用阴式和腹腔镜下子宫肌瘤剔除术的患者62例进行比较。本文对比研究患者腹腔镜和阴式子宫肌瘤剔除术术中、术后的情况，分析其优缺点，现报道如下：
1 资料与方法
1.1 一般资料
将2007年1月～2010年1月间来本院进行腹腔镜子宫肌瘤剔除术的患者30例(腹腔镜组)；进行阴式子宫肌瘤剔除术的患者32例(阴式组) ......
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