腹腔镜用于较大子宫肌瘤手术中的技巧

Laparoscopy operated technicality of larger myomectomy

目的探讨腹腔镜下较大子宫肌瘤核除术的各种手术技巧。方法 2007年9月至2010年12月,完成腹腔镜下子宫肌瘤核除术756例,其中核除较大子宫肌瘤(直径6～13cm,至少1个肌瘤直径≥6cm)229例。结果 229例腹腔镜下较大子宫肌瘤核除术无术中、术后并发症发生,仅1例由于腹腔粘连严重中转开腹。结论腹腔镜下较大子宫肌瘤核除术是安全可行的,提高手术技巧有利于降低中转开腹率和并发症的发生率。

Objective To investigate the laparoscopy operated technicality of larger myomectomy.Methods The study included 756 patients who were given the operation of laparoscopic Myomectomy from september 2007 to december 2010,229 patients of all with larger Myomectomy（diameter between 6 cm to 13 cm,at least one Hysteromyoma ≥ 6 cm）.Results Operations of 229 cases were performed successfully under laparoscopy without any complication.Only one case was forced to stop this kind of LM and accept general operation because serious abdominal cavity adhesion.Conclusions Laparoscopic lager myomectomy is safe and feasible,but improving skills of laparoscopy can decrease general operation and complications.