腹腔镜巨大子宫肌瘤切除术147例报告

Laparoscopic myomectomy of gigantic uterus myoma:a report of 147 cases

目的:探讨腹腔镜巨大子宫肌瘤切除的可行性及临床应用价值。方法:对147例子宫超过12孕周的患者行腹腔镜手术,针对不同情况采用不同手术方式。结果:147例患者均在腹腔镜下完成手术,无术中、术后并发症发生。手术时间(103.7±65.7)m in,术中出血量(136±43)m l。术后平均住院时间6.2d。结论:腹腔镜巨大子宫肌瘤切除术是安全可行的,但应具备丰富的腹腔镜手术经验及镜下缝合技术。

Objective：To investigate the feasibility and clinical value of laparoscopic myomectomy of gigantic uterus myoma. Methods ：147 cases of which the uterus enlarged more than that of 12 weeks gravida underwent laparoscopic myomectomy. Different operative method were applied in different cases. Results： Operations of all cases were performed successfully under laparoscopy without any complication. The operative time was （103.7± 65.7 ）min, introperative blood loss was （136 ±43 ）ml, and the average hospital stay was 6.2d. Conclusions： Laparoseopic myomectomy is safe and feasible, but operators should have plentiful experience of laparoscopic procedures and the suturing skills under laparoscopy.