论文部分内容阅读
目的探讨腹腔镜下子宫肌瘤剔除术后经阴道后穹窿取出的临床应用价值。方法收集行腹腔镜子宫肌瘤剔除术44例患者的临床资料,其中经阴道后穹窿取出者(TVE组)21例,经传统肌瘤粉碎者(EMM组)23例,比较两组治疗效果。结果 TVE组手术时间为(68.0±22.0)min,EMM组手术时间为(75.1±23.4)min,两组手术时间比较无统计学差异(P>0.05),取瘤时间TVE组少于EMM组[(8.0±5.0)min vs.(10.0±7.0)min](P<0.01),两组患者的失血量及术后并发症发生率等均无统计学差异(P>0.05)。结论经阴道后穹窿取出术在不增加手术并发症的同时,减少了取瘤时间,同时避免了腹部创伤及肿瘤碎片播散等潜在危险,是一种安全、可行、高效的手术方式。
Objective To investigate the clinical value of transvaginal posterior fornix after laparoscopic myomectomy. Methods The clinical data of 44 patients who underwent laparoscopic myomectomy were collected. Twenty-one of them were treated with TVE and 23 with EMM. The therapeutic effects were compared between the two groups. Results The operation time of TVE group was (68.0 ± 22.0) min and that of EMM group was (75.1 ± 23.4) min, there was no significant difference between the two groups (P> 0.05) (8.0 ± 5.0) min vs. (10.0 ± 7.0) min] (P <0.01). There was no significant difference in blood loss and incidence of postoperative complications between the two groups (P> 0.05). Conclusions Transvaginal posterior fornix extraction is a safe, feasible and effective surgical procedure which can reduce the time to take tumor without increasing the complication of operation and avoiding the potential dangers of abdomen trauma and dissemination of tumor fragments.