CAJ | 학술논문

目的：探讨经阴道手术与腹腔镜手术治疗子宫肌瘤的疗效差异。方法：收治子宫肌瘤患者120例，根据不同手术方式分为经阴道手术组和腹腔镜手术组各60例。对两组患者的疗效进行对比。结果：阴道手术组的手术时间、术中出血量和排气时间明显低于腹腔镜手术组(P＜0.05)，但两组患者子宫肌瘤数、住院时间、疼痛评分(VAS)和日常生活活动能力评分(ADL)比较无统计学意义(P＞0.05)。结论：经阴道手术与腹腔镜手术治疗子宫肌瘤的疗效相当，各有特色，经阴道手术相对出血少、排气时间短、恢复快，临床要根据患者的具体情况来选择术式。
목적：탐토경음도수술여복강경수술치료자궁기류적료효차이。방법：수치자궁기류환자120례，근거불동수술방식분위경음도수술조화복강경수술조각60례。대량조환자적료효진행대비。결과：음도수술조적수술시간、술중출혈량화배기시간명현저우복강경수술조(P＜0.05)，단량조환자자궁기류수、주원시간、동통평분(VAS)화일상생활활동능력평분(ADL)비교무통계학의의(P＞0.05)。결론：경음도수술여복강경수술치료자궁기류적료효상당，각유특색，경음도수술상대출혈소、배기시간단、회복쾌，림상요근거환자적구체정황래선택술식。
Objective:To explore the curative effect difference of transvaginal operation and laparoscopic operation in the treatment of uterine fibroid.Methods:120 patients with uterine fibroid were selected.They were divided into the transvaginal operation group and the laparoscopic operation group with 60 cases in each according to different operative methods.The curative effects of two groups were compared.Results:The operation time,intraoperative blood loss and exhaust time of the transvaginal operation group were significantly lower than those of the laparoscopic operation group(P<0.05).But the uterine fibroids numbers, hospital stays,pain scores(VAS) and daily life activities ability scores(ADL) of two groups were compared with no statistical significance(P>0.05).Conclusion:The curative effects of transvaginal operation and laparoscopic operation in the treatment of uterine fibroid are considerable,and each has its own characteristics.The transvaginal operation has less bleeding,short exhaust time and quick recovery.It should choose the surgical method according to the specific circumstances of patients in clinic.