摘要
目的:比较腹腔镜与阴式子宫肌瘤剔除术的手术疗效,并对结果进行分析。方法:回顾性分析本院2007年9月~2010年9月就诊的62例子宫肌瘤患者,其中32例采用阴式子宫肌瘤剔除术治疗(阴式组),30例采用腹腔镜剔除术治疗(腹腔镜组),比较两组患者术中情况和术后情况。结果:在术后高烧和术后止痛剂的应用方面比较,两组差异无统计学意义(P>0.05);在手术时间、术后排气时间、住院时间三方面上,两组差异有统计学意义(P<0.05),阴式子宫肌瘤剔除术比腹腔镜子宫肌瘤剔除术时间短;在剔除子宫肌瘤最大直径和术中出血量方面,两组患者间差异也有统计学意义(P<0.05),腹腔镜子宫肌瘤剔除术略优于阴式子宫肌瘤剔除术。结论:两种术式各有优缺点,各有其手术适应证。
Objective:To compare the laparoscopic and vaginal myomectomy in the surgical treatment,and the results were analyzed.Methods:A retrospective analysis of our hospital from September 2007 to September 2010 to our hospital between 62 patients with uterine fibroids,including 32 cases vaginal myomectomy therapy (vaginal group),30 cases removed by laparoscopic surgery (laparoscopic group),two groups were compared intraoperative conditions and postoperative situation.Results:Postoperative fever and postoperative application of analgesics were no significant different (P0.05);the operation time,discharge time and hospital stay in three areas,the two groups was significant different(P0.05),operation time in vaginal myomectomy was shorter than laparoscopic myomectomy;in maximum diameter of uterine fibroids removed and blood loss,there was no significant difference between the two groups(P0.05),laparoscopic myomectomy was slightly better than vaginal myomectomy.Conclusion:The two procedures have advantages and disadvantages,and each has its surgical indications.
出处
《中国当代医药》
2011年第2期26-28,共3页
China Modern Medicine
关键词
子宫肌瘤剔除术
阴式
腹腔镜
统计分析
Myomectomy uterus
Vaginal
Laparoscopy
Statistical analysis