朱进

【中图分类号】R737.9 【文献标识码】A 【文章编号】1672－3783(2011)07－0022－02

【摘要】目的：探讨阴式子宫肌瘤剔除术的临床效果和使用价值，为该术式的开展与推广进行前瞻性研究和分析。方法：对我科2009年2月-2010年3月25例子宫肌瘤患者经阴式子宫肌瘤剔除术的临床资料进行回顾性分析。并与同期23例经腹式子宫肌瘤剔除术患者的临床资料进行对比分析。结果：阴式子宫肌瘤剔除术的患者手术时间、术后排气时间短、术中出血量、术后并发症少、术后镇痛药物的使用率小、机体恢复快，各观察指标与腹式子宫肌瘤剔除除术患者比较存在显著性差异（P<0.05），具有统计学意义。结论：子宫肌瘤经阴道剔除术与腹式子宫肌瘤剔除术比较具有较多的优点，宜在基层医院推广，但应严格掌握适应症，认真做好患者术前评估工作。

【关键词】子宫肌瘤 ；剔除术；经阴道手术；疗效比较

Transvaginal excision of uterine fibroids 25 cases

Zhu Jin

【Abstract】Objective: To evaluate vaginal myomectomy clinical results and value in use, the surgical procedures carried out with the promotion of forward-looking research and analysis. Methods: The subjects in February 2009 -2010 March 25 cases of uterine fibroids by vaginal myomectomy clinical data were retrospectively analyzed. And compared with 23 patients with abdominal myomectomy in patients with clinical data were analyzed. Results: Vaginal myomectomy patients with operation time, short time after discharge, blood loss, fewer postoperative complications, postoperative pain medication usage is small, the body recover faster, and the observed indicators In addition to abdominal myomectomy patients compared surgery there was a significant difference (P <0.05), with statistical significance. Conclusion: Transvaginal excision of uterine fibroids and abdominal myomectomy compared with more advantages, should be in primary hospitals, but the indications should be strictly controlled, careful preoperative evaluation of patients with good work.

【Keywords】uterine fibroids; excision; vaginal surgery; Comparison of efficacy

子宫肌瘤是女性生殖系统中最常见的良性肿瘤，多发于30-50岁妇女，发病率为20%-30%。其主要的临床症状为经量多、经期长、不孕等，严重困扰着患者的身心健康［1］。目前，其有效治疗方法为手术治疗。有传统的腹式子宫肌瘤剔除、子宫全、次切除术；腹腔镜子宫肌瘤剔除、子宫全、次切除术；阴式子宫肌瘤剔除式。腹式子宫肌瘤剔除术手术创伤大、恢复慢，患者不愿意选择；腹腔镜子宫肌瘤剔除术手术技术要求高、配套器械贵，在基层医院难以开展。因此，在基层医院推广阴式子宫肌瘤剔除术是一个良好的契机，我科2009年2月-2010年3月对25例子宫肌瘤患者采取阴式子宫肌瘤剔除术，取得骄人成绩，得到患者的赞誉，现报道如下：