阴式子宫肌瘤核除术疗效观察

目的：通过阴式子宫肌瘤核除术与腹腔镜下子宫肌瘤核除术对比，探讨二者在临床上应用的价值.方法：回顾性分析2011年6月至2013年6月间，我院阴式子宫肌瘤核除术患者40例（治疗组）及同期行腹腔镜下子宫肌瘤核除术的患者40例（对照组）的临床资料，比较手术治疗效果和术中情况、术后恢复状况.结果：平均手术时间、术中平均出血量、术后体温情况，治疗组为（66±21）min、（336±73）ml、（37.8±0.5）℃；对照组为（62±24）min、（314±84）ml、（38.6±0.2）℃,两组无统计学差异（P＞0.05）.治疗组患者平均术后排气时间（18±8）h，术后平均住院时间（4.5±0.5）d ，平均住院费用（5200±315）元与对照组（32±6）h、（5.8±0.6）d、（6450±460）元相比，有统计学差异（P〈0.05）.所收集资料的患者均随访6~12个月，腹痛、不规则流血、腹胀等症状明显改善，与腹腔镜下子宫肌瘤核除术比较，两者均为微创手术，阴式手术更为广大患者所接受.结论：两种微创手术因阴式手术不开刀、无腹部瘢痕，恢复快，价位低，深受广大患者及医生的青睐，是微创手术中首选的治疗方案.

Observation of the Curative Effect of Vaginal Myomectomy

Objective：To investigate the clinical application value of vaginal myomectomy and abdominal myomectomy through comparing two kinds of methods. Methods：From June 2011 to June 2013, 40 patients who were treated with vaginal myomectomy were selected as the study group, and 40 cases who were treated with abdominal myomectomy dur-ing the same period in our hospital were selected as the control group. Their clinical data were retrospectively analyzed. The surgical treatment effects, intraoperative situation and postoperative recovery of the two groups were compared. Re-sults：There were no significant differences in the mean operating time, blood loss during operation between the study group （66± 21min, 336± 43ml ） and the control group （62± 24min, 314± 84ml）. In the study group, the mean recov-ery time of bowel function （18 ± 8hours）, average postoperative hospital stay （4.5 ± 0.5days）, expenses for operation and hospitalization （5200± 315yuan） were less than in the control group（32±6hours,5.8±0.6days,6450± 460yuan）, and there were significantly statistical differences（P〈0.05）. The patients were followed up for 6-12 months, the ab-dominal pain, irregular bleeding, abdominal distension and other symptoms were improved significantly. Abdominal myomectomy and vaginal myomectomy both were minimally invasive surgery, but the latter was accepted by more sur-gery patients. Conclusion：For the two kinds of minimally invasive surgery, the vaginal myomectomy because of no op-eration, no abdominal scar, restore fast and low prices, is favored by the majority of patients and doctors, and it is the preferred treatment in minimally invasive surgery.