经腹子宫肌瘤剔除术(TAM)与经阴道子宫肌瘤剔除术的临床效果比对分析

摘要

Objective:Compare the clinical results of transabdominal myomectomy and transvaginal myomectony.Methods:Select 131 uterine fibroid patients on the treatment in our hospital from December 2010 to December 2011 as the research objects; randomly divide them into 68 cases of experimental group (the group of transvaginal myomectony) and 63 cases of control group (the group of transabdominal myomectomy), compare the clinical results of the two kinds of hysteromyomectomy.Results:The average LOS of the experimental group patients is ((5.8 + /-2.1) days, the average exhaust time is (21.3 + /-3.2), the patients ratio of severe pains is 0.0%, all the data are significantly lower than the uterine fibroid patients in control group, the above P is less than 0.05; the average amount of bleeding is (325.4 + /-21.4) ml, which does not have significant difference with the control group, P> 0.05. Conclusion:The postoperative wound of transvaginal myomectony is small, postoperative pain is light and the recovery speed of the patients is fast, it can be promoted in the patients with suitable conditions.%目的:比较经腹子宫肌瘤剔除术与经阴道子宫肌瘤剔除术的临床效果.方法:选取2010年12月～2011年12月在我院治疗的子宫肌瘤患者131例为研究对象,随机分为实验组(经阴道子宫肌瘤剔除术组)68例和对照组(经腹子宫肌瘤剔除术组)63例,比较两种子宫肌瘤核除手术的临床疗效.结果:实验组患者平均住院时间为(5.8±2.1)天、平均排气时间为(21.3±3.2)小时、疼痛程度为重度的患者比例为0.0%,均明显低于对照组子宫肌瘤患者,以上P均小于0.05;术中的平均出血量为(325.4±21.4)ml,与对照组差异不显著,P>0.05.结论:经阴道剔除子宫肌瘤的手术方法术后创伤小、疼痛轻,患者恢复快,可以在条件适宜的患者中推广.