腹腔镜子宫肌瘤剔除术150例

Myomectomy through laparoscopy with a clinical analysis of 150 cases

目的:探讨腹腔镜下子宫肌瘤剔除术的处理特点。方法:回顾分析150例子宫肌瘤腹腔镜下剔除术的治疗效果。结果:150例子宫肌瘤剔除术均在腹腔镜下完成。其中1例术中快速病理诊断为高分化平滑肌肉瘤,立即追加开腹行广泛子宫切除术。术中出血量10～200ml,平均60ml。全部患者无一例发生并发症,术后住院平均5d。结论:在选择好病例的基础上,于腹腔镜下行子宫肌瘤剔除术,对浆膜下肌瘤、壁间肌瘤、阔韧带肌瘤分别采用套扎、切开分离等术式,手术安全、可靠、出血少,术后康复快。

Objective:To determine the characteristics of myomectomy through laparoscopy.Methods:The my-omectomy's effects of 150 cases in Laparoscopy were restrospectively reviewed. Results: One of them was diagnosed well differentiated leiomyosarcoma by pathologic sections and was changed to laparotomy immediately. The amount of bleeding in operation was from 10 to 200ml with a mean of 60ml. All the patients recovered without any complication.The average recovery time was 5 days. Conclusions: On the base of definite cases, subserous myoma tieing, cutting open and separating intramural myoma and broad ligament's myoma should be treated with each other.This method has the advantages of safety, reliance, less bleeding,recovering quickly and so on.