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目的:将3种子宫肌瘤剔除术,即腹腔镜下剔除术、开腹剔除术、经阴道剔除术,比较分析三种剔除术的临床特点,探寻较好的手术方式,以增强临床效果。方法:通过整理该院2015年1月至2016年1月子宫肌瘤患者所做手术资料,随机抽取经阴道剔除患者46例,通过腹腔镜手术患者46例,采用开腹剔除术患者55例,将三组手术的时间、出血量、血红蛋白差值、排期时间以及住院时间等做比较。结果:三组对比发现,经阴道子宫肌瘤剔除术在手术用时方面与其他两组有明显差异性(P<0.05),经阴道剔除术手术时间相对短,其他方面无太大差异。结论:经阴道剔除术与腹腔剔除术通常出血少、用时短且手术后恢复相对较快,这在微创手术中是具有优势的,为了保证手术成功,我们应选择最合适的手术方式。
OBJECTIVE: To evaluate the clinical efficacy of three kinds of myomectomy, ie, laparoscopic resection, open excision and transvaginal excision, to compare and analyze the clinical features of the three kinds of excision to explore a better surgical approach to enhance the clinical effect. Methods: According to the surgical data of patients with uterine fibroids from January 2015 to January 2016 in our hospital, 46 cases of vaginal rejection, 46 cases of laparoscopic surgery, 55 cases of laparoscopic resection, The three groups of surgery time, blood loss, hemoglobin difference, scheduling time and hospital stay for comparison. Results: Comparing the three groups found that transvaginal myomectomy in surgery time with the other two groups were significantly different (P <0.05), transvaginal excision of the operation time is relatively short, other aspects are not much different. Conclusion: Transvaginal and retroperitoneal resection usually have less bleeding, shorter time and relatively faster recovery after surgery. This is an advantage in minimally invasive surgery. To ensure successful operation, we should choose the most appropriate surgical method.