腹腔镜子宫肌瘤剔除术62例分析

Analysis of 62 cases of laparoscopic myomectomy

目的 探讨腹腔镜子宫肌瘤剔除术的效果。 方法 回顾分析 6 2例腹腔镜子宫肌瘤剔除手术的临床资料。结果 6 2例均获成功。其中肌壁间肌瘤 4 5例、浆膜下肌瘤 17例 (无蒂肌瘤 10例 ,带蒂肌瘤 7例 ) ,剔除肌瘤 10 1个 ,肌瘤直径 1～ 9cm ,平均 6 8cm。手术时间 2 5～ 2 70min ,平均 99min。术中出血 10～ 4 0 0ml,平均 6 3ml。术后住院时间 2～ 8d ,平均 4 7d。术后病率 2 5 8% ( 16 / 6 2 )。 4 2例随访 2～ 36个月 ,平均 9个月 ,2例复发 ;10例不育中 2例足月妊娠分娩。 结论腹腔镜下子宫肌瘤剔除术安全可行 ,术后恢复快 ,住院时间短 。

Objective To evaluate the effect of laparoscopic myomectomy. Methods Clinical data of 62 cases of laparoscopic myomectomy were analyzed retrospectively. Results Success was achieved in all the operations.Of the 62 cases,intramural myoma was confirmed in 45 cases,and subserous myoma,17 cases (non-pedicled,10 cases; pedicled,7 cases).A total of 101 myomas were removed,with a diameter of 1～9 cm (mean,6 8 cm).The mean operative time was 25～270 min (mean,99 min),and the intraoperative blood loss,10～400 ml (mean,63 ml).The postoperative hospital stay was 2～8 days (mean,4 7 days) and the overall complication rate was 25 8% (16/62).Follow-up observation in 42 cases for 2～36 months (mean,9 months) found recurrence in 2 cases and full-term pregnancy in 2 out of 10 cases with infertility. Conclusions Laparoscopic myomectomy has advantages of safety,quick recovery,short hospital stay and fewer complications.