腹腔镜监视下经阴道剥除宫颈阴道上部肌瘤

Colpomyomectomy of supravaginal cervical myoma under the laparoscopic supervision

目的探讨腹腔镜监视下经阴道剥除子宫颈阴道上部肌瘤的方法和临床价值。方法对21例宫颈阴道上部前、后壁的壁间或浆膜下肌瘤施行此手术。主要步骤包括:腹腔镜全程监视,经阴道于宫颈环形切口3～4cm,剥除子宫颈肌瘤,缝合组织腔隙。结果手术顺利完成,平均手术时间53min,平均出血95ml,肌瘤平均最大直径4.1cm,病理报告全部为子宫平滑肌瘤,随访半年至6年,无复发。结论腹腔镜监视下经阴道剥出子宫颈肌瘤是一种微创、安全、有效的治疗子宫颈阴道上部肌瘤的方法。

Objective To study clinical value of colpomyomectomy of the supravaginal cervical myoma under the laparoscopic supervision. Methods 21 patients diagnosed as anterior,posterior,intramural or subserous supravaginal cervical myoma were taken the colpomyomectomy under the laparoscopic supervision. The main procedures included having the supervision, making the ring cervical incision in length of 3 -4 cm through the vaginal, then excising the myoma and suturing the tissue. Results All surgeries were successfully performed. The mean surgery time was 53 minutes, the mean bleeding amount was 95 ml and the mean diameter of myoma （ calculated by the largest diameter） was 4. 1cm. All pathologic results showed uterine leiomyoma. No case recurred after following - up half a year to 6 years. Conclusion The colpomyomectomy of supravaginal cervical myoma under the laparoscopic supervision was minimally invasive, safe, effective treatment methods for the supravaginal cervical myoma.