经腹腔镜和经阴道子宫肌瘤剔除术临床效果对比分析

摘要

目的：探讨经腹腔镜子宫肌瘤剔除术（LM）与经阴道子宫肌瘤剔除术（TVM）2种手术方式的临床特点及应用价值。方法选取2011年1月至2013年5月在该院行子宫肌瘤剔除术患者108例，分为LM组55例和TVM组53例。LM组行经LM治疗，TVM组行TVM治疗，观察两组患者手术时间、术中出血、术后疼痛、住院时间及术后并发症等指标。结果两组患者手术时间、术中出血量、肠功能恢复时间等比较，差异均有统计学意义（P＜0.05）；两组患者住院时间、术后镇痛率、肌瘤数目及最大直径、并发症发生率等比较，差异均无统计学意义（P＞0.05）。结论2种手术均有优缺点和局限性，临床医生应根据患者的个体情况采用适合的手术方式，以获得最佳治疗效果。%Objetive To study the clinical characteristics and application value of laparoscopic myomectomy (LM) and transvaginal myomectomy(TVM). Methods A total of 108 patients with myomectomy in the hospital from January 2011 to May 2013 were divided into LM group(n=55) and TVM group(n=53). The LM group was treated with LM,while the TVM group received TVM. To observe the duration of operation,hemorrhage during operation,post-operation pain, length of stay(LOS),post-operation complications and so on. Results The comparison on duration of operation,hemorrhage during operation,recovery time of intesti-nal function and so on between the two groups had statistically significant difference (P<0.05),but there was no statistically sig-nificant difference between the two groups on LOS,postoperative analgesic rate,the number of fibroids,maximum diameter,com plication rate and so on(P>0.05). Conclusions Both operation methods have advantages,disadvantages and limitations,so doctors should develop appropriate surgical approach based on the patient′s individual differences in order to achieve the best therapeutic effect.