阴式与腹腔镜下剔除子宫肌瘤的效果比较  

Compared With the Effect of Vaginal Myomectomy and Laparoscopic Myomectomy Kick Hysteromyoma

作　　者：杨帆[1] 

机构地区：[1]南阳市第一人民医院妇产科,473000

出　　处：《中国继续医学教育》2015年第29期138-139,共2页China Continuing Medical Education

摘　　要：目的比较阴式子宫肌瘤剔除术与腹腔镜下子宫肌瘤剔除术治疗子宫肌瘤的临床效果。方法选择我院收治的100例子宫肌瘤患者,随机分为阴式组和腹腔镜组,各50例,对两组患者的手术创伤、术后疼痛评分及住院时间进行比较分析。结果两组患者的手术时间、术中出血量、术后肛门排气时间、术后疼痛评分及住院时间比较,阴式组均优于腹腔镜组,P<0.05,差异具有统计学意义。结论阴式子宫肌瘤剔除术与腹腔镜下子宫肌瘤剔除术均是临床上安全有效的微创手术方式,但阴式子宫肌瘤剔除术具有创伤更小、术后疼痛轻且体表无瘢痕等优点。Objective To compare the clinical effects of uterine fibroids treated with transvaginal and laparoscopic hysteromyoma.Methods Selected 80 patients with uterine ifbroids were treated, according to random number table were divided into the transvaginal groups and the laparoscopic group, each group had 50 eases, two group of patients for surgical trauma. postoperative pain score and the duration of hospital stays were compared. Results Theoperative time, blood loss, postoperative anal exhaust time, postoperative pain score and the duration of hospital stays are better than laparoscopic myomectomy,P〈0.05, had difference statistically signiifcance. Conclusion Vaginal hysterectomy excision and laparoscopic myomectomy are both safe and effective minimally invasive surgical clinic,but vaginal hysterectomy surgery is much better with the advantages of less trauma, lighter pain and postoperative pain surface without scars.

关 键 词：平滑肌瘤 子宫肿瘤 腹腔镜 治疗 

分 类 号：R742[医药卫生—神经病学与精神病学]