CAJ | 학술논문

目的：探讨经腹腔镜子宫肌瘤剔除术（LM）与经阴道子宫肌瘤剔除术（TVM）2种手术方式的临床特点及应用价值。方法选取2011年1月至2013年5月在该院行子宫肌瘤剔除术患者108例，分为LM组55例和TVM组53例。LM组行经LM治疗，TVM组行TVM治疗，观察两组患者手术时间、术中出血、术后疼痛、住院时间及术后并发症等指标。结果两组患者手术时间、术中出血量、肠功能恢复时间等比较，差异均有统计学意义（P＜0.05）；两组患者住院时间、术后镇痛率、肌瘤数目及最大直径、并发症发生率等比较，差异均无统计学意义（P＞0.05）。结论2种手术均有优缺点和局限性，临床医生应根据患者的个体情况采用适合的手术方式，以获得最佳治疗效果。
목적：탐토경복강경자궁기류척제술（LM）여경음도자궁기류척제술（TVM）2충수술방식적림상특점급응용개치。방법선취2011년1월지2013년5월재해원행자궁기류척제술환자108례，분위LM조55례화TVM조53례。LM조행경LM치료，TVM조행TVM치료，관찰량조환자수술시간、술중출혈、술후동통、주원시간급술후병발증등지표。결과량조환자수술시간、술중출혈량、장공능회복시간등비교，차이균유통계학의의（P＜0.05）；량조환자주원시간、술후진통솔、기류수목급최대직경、병발증발생솔등비교，차이균무통계학의의（P＞0.05）。결론2충수술균유우결점화국한성，림상의생응근거환자적개체정황채용괄합적수술방식，이획득최가치료효과。
Objetive To study the clinical characteristics and application value of laparoscopic myomectomy (LM) and transvaginal myomectomy(TVM). Methods A total of 108 patients with myomectomy in the hospital from January 2011 to May 2013 were divided into LM group(n=55) and TVM group(n=53). The LM group was treated with LM,while the TVM group received TVM. To observe the duration of operation,hemorrhage during operation,post-operation pain, length of stay(LOS),post-operation complications and so on. Results The comparison on duration of operation,hemorrhage during operation,recovery time of intesti-nal function and so on between the two groups had statistically significant difference (P<0.05),but there was no statistically sig-nificant difference between the two groups on LOS,postoperative analgesic rate,the number of fibroids,maximum diameter,com plication rate and so on(P>0.05). Conclusions Both operation methods have advantages,disadvantages and limitations,so doctors should develop appropriate surgical approach based on the patient′s individual differences in order to achieve the best therapeutic effect.