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目的观察腹腔镜两种子宫肌瘤剔除术的临床效果,探讨一种更好的微创治疗子宫肌瘤并保留子宫的手术方法。方法 112例有肌瘤剔除指征的子宫肌瘤患者根据手术方式的不同分为两组:A组58例腹腔镜辅助阴式子宫肌瘤剔除、B组54例腹腔镜下子宫肌瘤剔除。对两组的术中及术后情况进行对比分析。结果腹腔镜辅助经阴子宫肌瘤剔除术组术中出血少,手术时间短,中转开腹率低,两组相比差异有显著性(P<0.05)。术后肠蠕动恢复时间和住院时间无显著性差别(P>0.05)。结论腹腔镜辅助阴式子宫肌瘤剔除术是一种较好的保留子宫的微创手术方法,尤其适用于腹腔镜下缝合技术不好的医生。
Objective To observe the clinical effects of laparoscopic two myomectomy, to explore a better minimally invasive surgical treatment of uterine fibroids and retention of the uterus. Methods One hundred and twenty-two patients with myoma of uterine leiomyoma were divided into two groups according to the operation mode: 58 cases of laparoscopic assisted vaginal myomectomy in group A and 54 cases of laparoscopic myomectomy in group B were excluded. The two groups of intraoperative and postoperative comparative analysis. Results Laparoscopic assisted transvaginal myomectomy less bleeding, shorter operative time, lower conversion rate of laparotomy, the difference between the two groups was significant (P <0.05). Postoperative bowel recovery time and hospital stay no significant difference (P> 0.05). Conclusion Laparoscopic assisted vaginal myomectomy is a better method of minimally invasive surgery to retain the uterus, especially suitable for laparoscopic suture poor technique doctors.