腹腔镜巨大子宫肌瘤剔除术148例观察

Laparoscopic Myomectomy of Gigantic Hysteromyoma:A Report of 148 Cases

目的:探讨腹腔镜子宫肌瘤剔除的可行性及临床应用价值。方法:对148例子宫肌瘤超过12孕周大小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: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80±36 min,出血量90±32 mL。术后平均住院时间5.6 d。结论:腹腔镜巨大子宫肌瘤剔除术是安全可行的,但应具备腹腔镜下娴熟的缝合技术。

Objective： To investigate the feasibility and clinical value of laparoscopic myomectomy of gigantic hysteromyoma. Methods： 148 cases of which the uterus enlarged more than 12 weeks gravida were recived laparoscopic myomectomy. Different operative methods were applied in different cases. Results： Operations of all cases were performed successfully under laparoscopy without any complication. The operative time was 80 ± 36 min, inn＇operative blood loss was 90 ± 32 mL, and the average hospital stay was 5.6 d. Conclusion： Laparoscopic myomectomy is safe and feasible, but operators should have plentiful experience of laparoscopic procedures and the suturing skills under laparoscopy.