腹腔镜辅助下腹部超微切口子宫肌瘤剔除术后中长期随访结果

Mid-long term outcomes of laparoscopy-assisted abdominal microincision myomectomy

目的探讨腹腔镜辅助下腹部超微切口子宫肌瘤剔除术的中长期随访结果。方法回顾分析我院2002年6月至2006年10月腹腔镜辅助下腹超微切口子宫肌瘤剔除术85例,其中78例随访≥12个月（12～61个月）。浆膜下子宫肌瘤51例,肌壁间肌瘤34例;肌瘤数目1～3个;肌瘤大小〈5 cm者47例,≥5 cm者38例,其中最大直径达10 cm。结果全部手术均在腹腔镜下完成,无一例中转开腹,无并发症发生。术后复发6例,复发率为7.7%。结论腹腔镜辅助下腹部超微切口子宫肌瘤剔除术具有微创手术的特点且不增加肌瘤的复发率,安全可靠。

Objective To evaluate the mid-long term outcomes of laparoscopy-assisted abdominal microincision myomectomy. Methods Clinical data of 85 cases of laparoscopy-assisted abdominal microineision myomeetomy from June 2002 to October 2006 were retrospectively analyzed. All the patients were followed up for at least 12 months （ 12-61 months）. There were 51 cases of subserous myoma, 34 cases of intramural myoma. The numbers of myomas were 1-3 ; diameter of myoma of 47 cases was less then 5 cm, that of 38 cases was greater than or equal to 5 cm, the largest diameter was 10 cm. Results All operation were performed under laparoscopy and no complication occurred. Myoma recurred in 6 cases（7.7% ）. Conclusion Laparoscopy-assisted abdominal mieroincision myomectomy is a safe, effective and minimally invasive operation. This operation does not increase the recurrence rate.