经阴道手术与腹腔镜手术治疗子宫肌瘤疗效观察  

Effect of Transvaginal and Laparoscopic Surgery on Uterine Myoma

作　　者：陈丽萍[1] 吴颖元[1] 何海飞 翁锦鸾 刘爱香[1] CHEN Liping;WU Yingyuan;HE Haifei;WENG Jinluan;LIU Aixiang(Armed Police Guangdong General Hospital Panyu Branch,Guangzhou,Guangdong 510000,China)

机构地区：[1]武警广东总队医院番禺院区,广东广州510000

出　　处：《大医生》2019年第11期14-15,共2页Doctor

摘　　要：目的对比经阴道手术和腹腔镜手术对子宫肌瘤的治疗效果。方法选取2017年6月至2018年9月武警广东总队医院番禺院区收治的88例子宫肌瘤患者,采用随机法分为经阴道组和腹腔镜组,各44例,分别实施经阴道手术和腹腔镜手术。统计并比较两种手术方式下的手术指标情况以及患者术后恢复情况。结果经阴道组手术时间、胃功能恢复时间、肛门首次排气时间均短于腹腔镜组,术中出血量、住院费用均低于腹腔镜组,术后最高体温高于腹腔镜组,差异均有统计学意义(P<0.05)。经阴道组术后并发症发生率9.09%(4/44)、复发率4.55%(2/44),均分别高于腹腔镜组的2.27%(1/44)、0,差异均有统计学意义(P<0.05)。结论经阴道手术和腹腔镜手术在子宫肌瘤的治疗中各有优势。Objective To compare the therapeutic effect of transvaginal and laparoscopic surgery on uterine myoma.Methods Eighty-eight cases of uterine myoma admitted to Armed Police Guangdong General Hospital from June 2017 to September 2018 were slected and divided into the transvaginal group(transvaginal surgery)and laparoscopic group(laparoscopic surgery),44 cases per group.The surgical indicators and patient's postoperative recovery situation between the two groups were compared.Results The operation time,gastric function recovery time,and initial anal exhaust time of the transvaginal group were all shorter than those of the laparoscopic group,the amount of peroperative bleeding and hospitalization costs were lower than those of the laparoscopic group,the highest postoperative body temperature was higher than that of the laparoscopic group(P<0.05).The incidence of complication was 9.09%(4/44),and the recurrence rate was 4.55%(2/44)in the transvaginal group,which were both higher than those in the laparoscopic group[2.27%(1/44)and 0,respectively,P<0.05].Conclusion The transvaginal surgery and laparoscopic surgery have their own advantages in the treatment of uterine myoma.

关 键 词：经阴道手术 腹腔镜手术 子宫肌瘤 治疗效果 

分 类 号：R73[医药卫生—肿瘤]