【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。更多还原

【Abstract】 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 May2013 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 intestinal function and so on between the two groups had statistically significant difference(P<0.05),but there was no statistically significant 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.更多还原