腹腔镜子宫肌瘤剔除术86例应用体会

Learning from application on 86 cases of laparoscopic myomectomy.

目的 探讨腹腔镜子宫肌瘤剔除术的临床效果及操作要点。方法 回顾性分析近 2年我科行腹腔镜子宫肌瘤剔除术 86例临床资料。结果 86例手术均在腹腔镜下完成 ,无大出血及副损伤发生 ,手术时间平均 10 0min ,术中出血量平均 10 0ml,术后住院日平均 5天。结论 腹腔镜子宫肌瘤剔除术具有创伤小 ,恢复快等优点 ,是一种保留器官的微创术式 ,只要合理选择适应证 ,熟练掌握镜下缝合技术 。

Objective To investigate the clinical effects and procedures of laparoscopic myomectomy.Methods The clinical data of 86 cases subject to laparoscopic myomectomy were retrospectively reviewed in recent two years.Results All 86 cases of operations were performed successfully by laparoscopy without hemorrhage and damage. The mean operating time was 100 min. The mean amount of blood loss was 100 ml. The average hospital stay after operation was 5 days.Conclusion Laparoscopic myomectomy has advantages of minimal invasion and rapid recovery. It is a minimally invasive method of remaining organ. Laparoscopic myomectomy is safe and effective with suitable patients and skilled suture of laparoscope.