阴式与腹腔镜下两种子宫肌瘤剔除术式临床对照分析  

Comparative study of transvagihal myomectomy versus lapaorscopic myomectomy

作　　者：范晓霞[1] 余晓[1] 徐小敏[1] 

机构地区：[1]浙江中医药大学附属衢州中心医院妇科,浙江衢州324000

出　　处：《中国现代医生》2012年第21期138-140,共3页China Modern Doctor

基　　金：2008年浙江省衢州市科技项目计划(20081088)

摘　　要：目的探讨阴式与腹腔镜下子宫肌瘤剔除术的临床特点及各自优势。方法对近年来在我院行阴式子宫肌瘤剔除术的128例患者和行腹腔镜下子宫肌瘤剔除术的130例患者的临床资料进行对照分析,将两组患者的手术时间、术中出血量、剔除的肌瘤数量、重量以及术后最高体温、体温恢复正常时间、肛门排气时间、使用抗生素时间、住院时间、住院费用等进行比较。结果术中剔除肌瘤重量、术后体温恢复正常时间、肛门排气时间、使用抗生素时间、住院时间等指标两组比较均无统计学意义(P>0.05),阴式组手术时间较短、术中出血量较少、剔除肌瘤数目较多,住院费用较低但术后最高体温较高(P<0.05)。结论两种术式均具有微创手术的良好特性,并各有适用指征及特点而不可完全互相替代,但从卫生经济学角度而言,阴式手术可作为微创手术的首选治疗术式,并具有在临床上推广应用的价值。Objective To investigate the clinical features and their advantages of transvagihal myomectomy and laparo- scopic myomectomy. Methods The clinical date of 58 cases of transvagihal myomectomy and 55 cases of laparoscopic my- omectomy were compared.The two groups＇s operation time, blood loss, the amount and the weight of myoma, post-operation temperature, the anal exsufflation time, antibiotics consumption, hospital stay, hospital costs for statistical comparisons. Results The weight of myoma, post-operation temperature recovery time, the anal exsufflation time, antibiotics consump- tion, the time of hospitalization in the two groups were not significantly different （P〉 0.05）. But the operation time, blood loss, the amount of myoma, post-operation maximum temperature and the expenses of hospitalization were significantly different in the two groups （P 〈 0.05）. Conclusion Both transvagihal myomectomy and laparoscopic myomectomy have advantages of minimally invasive surgery.However, the two approaches have their characters and indications respectively. They could not totally substituce each other. From the viewpoint of health economics, transvagihal myomectomy might be a standard proce- dure for operation methods of uterine myomas.

关 键 词：阴式 腹腔镜 子宫肌瘤 剔除术 

分 类 号：R71[医药卫生—妇产科学]