【摘要】 目的 研究经阴道子宫肌瘤剔除术临床效果及术后护理。 方法 选择43例自愿接受经阴道子宫肌瘤剔除术的患者(经阴组)做临床研究，并与同期50例按常规行经腹子宫肌瘤剔除术病例(经腹组)术后效果做对照。 结果 经阴组较经腹组手术时间及出血量近似(P>0.05)，而术后平均体温高峰、术后肛门排气时间、住院天数，两组差异有非常显著性(P<0.01)。 结论 经阴道子宫肌瘤切除术是一种新式子宫肌瘤剔除术式，符合微创手术原则，护理简便，尤其对年轻患者具有特殊意义，适合于在具有一定麻醉条件的医院开展应用。

    关键词 微创 经阴道子宫肌瘤剔除术 术后护理

    The clinical study and nursing on hysteromyomectomy by vagina

    Miao Fengying，Li Aihong，Sun Chengchun，et al.

    The People's Hospital of Rizhao，Shandong276826.

    【Abstract】 Objective To study clinical performance of the hysteromyomectomy by vagina and postoperational care.Methods 43cases underwent hysteromyomectomy by vagina were selected，comparing with50cases of hys-teromyomectomy by abdomen in the same time.Results The operation time，and the amount of bleeding，which by vagina is not different with those by abdomen，P>0.05.The post postoperational average temperature，the time to ex-haust by anus，and time being in hospital is different from those by abdomen，P<0.01.Conclusion The hysteromy-omectomy by vagina is a new kind of operation.It is according with the principle of microsurgery ......