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目的探讨阴式子宫肌瘤剔除术和腹腔镜子宫肌瘤剔除术的技术处理特点和临床治疗效果。方法随机抽取67例子宫肌瘤患者,其中38例采用阴道子宫肌瘤剔除术(经阴道手术组),29例采用腹腔镜子宫肌瘤剔除术(腹腔镜手术组)。结果两组在术中出血、术后住院时间、术后并发症等方面比较差异无统计学意义(P>0.05),但在手术时间和术后排气时间方面比较差异有统计学意义(P<0.05)。结论两种子宫肌瘤剔除术各有其优点和局限,手术方式的选择应根据患者自身病情等情况进行选择,以达到理想的临床效果。
Objective To explore the technical treatment features and clinical effects of vaginal myomectomy and laparoscopic myomectomy. Methods A total of 67 patients with uterine fibroids were randomly selected. Thirty-eight patients underwent vaginal myomectomy (vaginal surgery group) and 29 patients underwent laparoscopic myomectomy (laparoscopic surgery group). Results There was no significant difference between the two groups in intraoperative bleeding, postoperative hospital stay, postoperative complications, etc. (P> 0.05), but there was significant difference in operative time and postoperative exhaust time (P <0.05). Conclusion The two myomectomy have their own advantages and limitations, the choice of surgical approach should be based on the patient’s condition and so on to choose, in order to achieve the desired clinical effect.