腹腔镜下子宫肌瘤剔除11例临床分析

Clinical analysis of removal hysteromyoma under laparoscope in 11 cases

目的探讨腹腔镜下子宫肌瘤剔除术的手术价值、手术适应证及手术技巧.方法 11例子宫肌瘤患者进行腹腔镜下肌瘤剔除术.结果手术共剔除肌瘤20个,每例患者肌瘤1～3个,肌瘤直径1～9cm,手术时间(75.2±1.1)min,出血量(55±10)ml,术后住院时间(3.5±1.1)d,并发症发生率为4.5%.结论腹腔镜下肌瘤剔除术效果好,并发症少,出血少,手术创伤小,恢复快,住院时间短.

Objective: To discuss the value, indication and technique of hysteromyoma myomectomy. Methods: Laparoscopic myomectomy of hysteromyoma was performed in 11 cases of hysteromyoma. Results: Altogether 20 hysteromyoma were dissected. The diameter ranged from 1 to 9 cm. The time length of operations ranged between (75.2±1.1) min. The blood loss ranged between (55±10) ml. Postoperative hospital stay ranged between (3.5±1.1) d. The incidence rate of complication was 4.5%. Conclusions: There are many advantages of laparoscopic myomectomy of hysteromyoma such as better outcomes, less complications, less blood loss, minimal injury, faster recovery and shorter hospital stay.