CAJ | 학술논문

目的：讨论并分析阴式子官肌瘤剜除术的治疗临床表现、手术过后并发症的预防以及手术适应证。方法回顾性探讨2012年9月～2013年8月我院96例患者，将患者随机分成观察组和对照组，每组患者各48例，对观察组实施经阴道子宫肌瘤剜除术的并发症、手术指征及治疗效果，对照组则选择经腹子宫肌瘤剜除术，两者结果进行比较。结果48例子宫肌瘤均成功经阴道剜除，没有任何一例患者出现直肠、膀胱及输尿管有所伤害。平均手术时间、术中平均出血量及术后病率两组对比，差异特别的明显（P>0.05），具有一定的可比性；观察组的阴式组术后排气时间、术后疼痛情况及术后住院时长等全部要比对照组的短且轻（P<0.01）。结论阴式子宫肌瘤剜除术创伤不是很大，恢复非常迅速，手术过后疼痛情况不是很明显，这种手术方法不仅安全可靠，而且效果十分显著。
목적：토론병분석음식자관기류완제술적치료림상표현、수술과후병발증적예방이급수술괄응증。방법회고성탐토2012년9월～2013년8월아원96례환자，장환자수궤분성관찰조화대조조，매조환자각48례，대관찰조실시경음도자궁기류완제술적병발증、수술지정급치료효과，대조조칙선택경복자궁기류완제술，량자결과진행비교。결과48례자궁기류균성공경음도완제，몰유임하일례환자출현직장、방광급수뇨관유소상해。평균수술시간、술중평균출혈량급술후병솔량조대비，차이특별적명현（P>0.05），구유일정적가비성；관찰조적음식조술후배기시간、술후동통정황급술후주원시장등전부요비대조조적단차경（P<0.01）。결론음식자궁기류완제술창상불시흔대，회복비상신속，수술과후동통정황불시흔명현，저충수술방법불부안전가고，이차효과십분현저。
Objective To discuss and analyze the female officer myoma enucleation expression of clinical manifestations,prevention of complications after surgery and surgical indications. Methods Retrospective investigate September 2012 August 2013-96 patients in our hospital, patients were randomly divided into observation group and control group patients al 48 cases, the implementation of the observation group transvaginal uterine fibroids enucleation complications,surgical indications and treatment,control group selection Myomectomy abdominal surgery,both results were compared. Results 48 cases of uterine fibroids were successful vaginal evisceration,without any one case patients rectum,bladder and ureter has been hurt. The average operative time,intraoperative blood loss and mean postoperative morbidity between two groups,the difference particularly evident (P>0.05),with a certain comparability; vaginal discharge time observation group after group,postoperative pain,and al other conditions and long than short and light control group (P<0.01) when the postoperative hospital stay. Conclusion Vaginal Myomectomy surgery trauma is not great,the recovery is very rapid,pain after surgery is not very clear,this method is not only safe and reliable operation, and the effect is very significant.