阔韧带肌瘤的诊断与处理

Diagnosis and Trcatment of Broad Ligament Myoma

本文分析我院收治的阔韧带肌瘤40例。阔韧带肌瘤的术前确诊率较低,但临床诊断显著较 B超诊断的准确性为高,在 40例中,全宫切除术27例,阔韧带肌瘤剔出术 13例,均无 1例并发输尿管损伤。手术成功的关键在于术中注意输尿管走向;阻断包膜上血流;包膜内剔出肌瘤;切除子宫从健侧开始;肌瘤剔除后彻底止血。

Forty cases of broad ligament myoma were analysed in this paper. The accu racy of the preoperative diagnosis was low. The accuracy of clinicla diagnosis was apparently higher than that of diagnosis made by B Mode ultrasonography. Of the 40 cases, 27 under went hysterectomy and 13 enucleation of broad ligament myoma,with no single case compli cated by ureteral injury. The key to successful operation lies on the attention paid to the trend of ureter, the block of the blood flow in the capsule, the enucleation of the myoma within the capsule, the resection of the uterus initially from the healthy side, and perfect bleeding after myoma enucleation.