腹腔镜下子宫肌瘤剔除术148例

Laparoscopic hysteromyomectomy in 148 cases

目的探讨腹腔镜下子宫肌瘤剔除术的临床效果及手术操作技术。方法分析腹腔镜下子宫肌瘤剔除术148例患者的临床资料,明确临床应用价值,总结手术操作技巧。结果148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(98±42)min;术中出血量(83±35)ml;术后肛门排气时间(24±5)h;术后住院天数(7.8±1.5)d。结论腹腔镜下子宫肌瘤剔除术是一种安全有效的保留器官的手术方法,具有微创手术的一切优点,是一种值得推广应用的微创术式,术前严格的病例选择及术中良好的手术操作技巧是手术成功的关键。

Objective To investigate the clinical effect and surgery operative skills of laparpscopic myomectomy. Methods The 148 cases performed laparoscopic myomectomy were analyzed to define clinical value and summarize surgery operative skills. Results Operations of all cases were performed successfully under laparoscopy without any complication. The operative time was （98 ± 42 ） min,introperative blood loss was （83 ± 35 ） ml, passage of gas by anus occurred at （ 24 ± 5 ） h after operation, and the average hospital stay after operation was （7.8 ± 1. 5 ）d. Conclusion Laparoscopic myomectomy has all advantages of micro - traumatic operation, which is effective, safe and organ - saving. It is worth promoting the application. The strict case choice and good surgery operative skills are the sugrery successful key.