子宫肌瘤手术治疗310例的术式临床分析

Climical Analysis of 310 Cases with Sagical Therapy for Uterine Leiomyomas

目的 探讨子宫肌瘤手术治疗的术式选择。方法 对我院5年间310例子宫肌瘤患者手术治疗术式的优缺点进行分析。结果 手术方式以全宫切除为主,占82.6%,次全宫切除占7.5%,肌瘤剔出占9%,剖宫产同时行肌瘤剔出占0.9%。全宫切除者阴道有不同程度缩短,全宫及次全宫切除者有36.29%出现更年期症状,有35.02%性生活质量下降。肌瘤剔出者有3例妊娠。结论 手术方式的选择应根据患者年龄、对生育有无要求、肌瘤生长部位、大小、子宫活动度、宫颈有无病变及医师手术技能等因素决定。

Objective To investigaite the surgical approaches for uterine leiomyomsa. Methods Themerits and demerits of sugical approaches perfomed on the patients with uterine leiomyomas during thelast 5 years were analyzed. Results Among the currently approaches hysterectomy is 82.6%, subtotal-Hysterectomy is 7.5%, and myomectomy is 9%, Also there were 0.9% patients carried myomectomy during(meanwhile) the cesarean section. The vagina were shorter than ever after the Hysterectomy 36.29% casesof menopansal syptom appeared both in Hysterectomy terectomy and subtotal-Hysterectamy. 35.02% casesled to a low quatity of sexual life. And 3 cases of pregnancy occurred after myomectomy. ConclusionThe following factors should be considered when choosing to surgical appobache for uterine leromyomas:the age, reproductive requre, the location and size of the leiomymomas, cervical diseases techmique andso on.