CAJ | 학술논문

目的：探索研究经阴道与腹腔镜下子宫肌瘤剔除术的临床效果；方法：212例子宫肌瘤患者，平均分为阴式组与腹腔镜组。阴式组行阴道子宫肌瘤剔除术，腹腔镜组行腹腔镜下子宫肌瘤剔除术；结果：两组患者的手术时间、手术中出血量、手术后病率、患者住院时间没有显著性差异(P>0.05)，腹腔镜组患者的手术后肛门排气时间晚，住院总费用高，和阴式组比较存在显著性差异(P<0.05)，术后随访两组患者切口愈合均表现良好，超声检查也未见子宫肌瘤。结论：经阴道与腹腔镜下子宫肌瘤剔除术两种手术方式各有优缺点，作为微创手术，临床上可以针对不同患者的情况选择使用。
목적：탐색연구경음도여복강경하자궁기류척제술적림상효과；방법：212례자궁기류환자，평균분위음식조여복강경조。음식조행음도자궁기류척제술，복강경조행복강경하자궁기류척제술；결과：량조환자적수술시간、수술중출혈량、수술후병솔、환자주원시간몰유현저성차이(P>0.05)，복강경조환자적수술후항문배기시간만，주원총비용고，화음식조비교존재현저성차이(P<0.05)，술후수방량조환자절구유합균표현량호，초성검사야미견자궁기류。결론：경음도여복강경하자궁기류척제술량충수술방식각유우결점，작위미창수술，림상상가이침대불동환자적정황선택사용。
Objective:To explore the clinical effect of vaginal and laparoscopic myomectomy.Methods:212 patients with myoma were divided into vaginal group and the laparoscopic group, the vaginal group underwent vaginal myomectomy and the laparoscopic group underwent laparoscopic myomectomy. Results:The two groups of patients in operation time, amount of bleeding during the operation, the morbidity after operation, hospitalization time had no significant difference(P>0.05), the laparoscopic group of patients after operation had later exhaust time, hospitalization expenses was high, it had significant difference with the vaginal group(P<0.05), postoperative follow-up of two patients showed good healing of incision, ultrasound examination no uterine leiomyoma.Conclusion:The two kinds of operation mode of vaginal and laparoscopic myomectomy have advantages and disadvantages, as a minimally invasive operation, clinical on can be used according to different conditions of patients to choose.