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目的:了解开腹与阴式子宫肌瘤剔除术各自临床疗效。方法:随机选取35例子宫肌瘤患者作对照组,行开腹子宫肌瘤剔除术治疗;另选取35例相同疾病患者作观察组,行阴式子宫肌瘤剔除术治疗,对比两组患者采用不同剔除术治疗术中、术后各方面情况。结果:研究组与对照组患者疗后优良率分别为97.14%、94.28%,组间比较无统计学显著(P>0.05);同时,研究组患者术中所用手术时间、术后肛门排气时间、术后住院时间等更短,出血量更少,与对照组比较差异显著(P<0.05)。结论:阴式子宫肌瘤剔除术创伤小,术中出血量少,术后恢复快,若掌握好手术适应症,其属于子宫肌瘤治疗的安全可行微创术。
Objective: To understand the clinical efficacy of laparotomy and vaginal myomectomy. Methods: 35 cases of uterine fibroids were randomly selected as the control group, underwent open myomectomy; another 35 patients with the same disease as the observation group, the line of vaginal myomectomy, compared with two groups of patients Different cuff treatment of intraoperative and postoperative aspects of the situation. Results: The excellent and good rates of study group and control group after treatment were 97.14% and 94.28%, respectively. There was no significant difference between the two groups (P> 0.05). Meanwhile, the operation time, the time of postoperative anal exhaust , Shorter postoperative hospital stay and less bleeding, compared with the control group (P <0.05). Conclusions: Vaginal myomectomy excluding small trauma, less blood loss, postoperative recovery quickly, if the surgical indications, which belongs to the treatment of uterine fibroids safe and feasible minimally invasive surgery.