腹腔镜联合阴式手术在子宫肌瘤治疗中的临床应用  

Effect of laparoscopy combined with transvaginal operation in teaetment of uterine leiomyoma

作　　者：付冬梅[1] 邓秀美[1] 梁路容[1] 

机构地区：[1]广东省博罗县人民医院妇产科,广东博罗516100

出　　处：《中国现代医生》2013年第20期153-155,共3页China Modern Doctor

基　　金：广东省惠州市科技计划项目(20110804)

摘　　要：目的分析腹腔镜联合阴式手术在子宫肌瘤治疗中的临床效果,并为子宫肌瘤的最优化治疗提供理论性指导。方法选取我院于2009年12月～2012年5月收治的120例子宫肌瘤患者,利用随机数字表法进行分组,分别设为A组、B组和C组,每组各40例。其中A组采取开腹手术治疗,B组采取阴式手术治疗,C组采取腹腔镜联合阴式手术进行治疗。结果 C组手术时间、失血量、HGB手术前后差值、复发率、术后病率明显低于A组和B组(P<0.05)。结论阴式手术的临床效果优于传统腹式手术,而腹腔镜联合阴式手术兼有腹腔镜和阴式手术的双重优点,值得进一步推广。Objective To analyze the clinical effect of laparoscopy combined transvaginal operation in leiomyoma of uterus, and provide theoretical guidance for the optimal treatment of uterine fibroids. Methods A total of 120 cases of uterine fibroids patients in our hospital in 2008 March to 2012 year in May admitted to the random number table method, grouping, were divided into A group, B group and C group, each group of 40 cases. The A group to take la- paroscopic myomectomy, group B taking vaginal operation treatment, group C by laparoscope and vaginal operation treatment. Results Operation time, blood loss, before and after HGB operation difference ,recurrence rate and postoperative morbidity of C group was significantly lower than that in A group and B group （P 〈 0.05）. Conclusion The laparoscopic operation under transvaginal myomectomy is a scientific, reasonable, effective treatment, the clinical efficacy is significant, worthy of further promotion.

关 键 词：腹腔镜 阴式手术 子宫肌瘤 预后情况 

分 类 号：R737.33[医药卫生—肿瘤]