腹腔镜辅助子宫肌瘤切除术28例临床分析

Clinical analysis of laparoscopic-assisted myomectomy:a report of 28 cases

目的：评价腹腔镜辅助子宫肌瘤切除术的效果。方法：回顾分析28例腹腔镜辅助子宫肌瘤切除术的临床资料。结果：28例手术均获成功，其中肌壁间肌瘤18例，浆膜下肌瘤（无蒂）6例，阔韧带肌瘤3例，峡部肌瘤1例，肌瘤直径0．5—15era，平均6．5cm。手术时间40—150min，平均60min，术中出血30—200ml，平均60ml，术后住院4—8d，平均5d。随访2—36个月，平均9个月，无复发。6例不孕症患者中2例妊娠。结论：腹腔镜辅助子宫肌瘤切除术兼具传统与微创手术的优点，安全可行。

Objective： To evaluate the effects of laparoscopic-assisted myomectomy. Methods： Clinical data of 28 cases who underwent laparoscopic-assisted myomectomy were analyzed restrospectively. Results：All the operations were performed successfully. Among them,intramural myoma was confirmed in 18 cases, subserous myoma （non-pedicled） in 6 cases, broad ligament myoma in 3 ca- ses, and isthmus uteri mymna in 1 case. The diameter of myoma was 0.5-15cm （mean 6.5cm）, the operative time was 40-150min （mean 60min）, the intraoperative blood loss 20-200ml （ mean 60ml）, and the postoperative hospitalization was 4-8 d （ mean 5 d）. With a follow- up of 2-36 months （ mean 9 months）, no recurrence was found, and 2 out of 6 patients with barrenness were cured. Conclusions ： Laparo- scopic-assisted myomectomy has the advantages of traditional and minimal invasive surgery,which is safe and effective.