腹腔镜子宫肌瘤剔除术92例分析

Analysis of 92 Cases Underwent Laparoscopic Hysteromyoma

目的探讨腹腔镜下子宫肌瘤剔除术的技术处理特点。方法对92例浆膜下或肌壁间子宫肌瘤患者行腹腔镜子宫肌瘤切除术,并对其方法及疗效等方面进行总结分析。结果92例患者均在腹腔镜下手术成功,无中转开腹病例,术后无并发症发生。手术时间35～130 min,平均(62.40±35.20)min,术中出血量10～165 ml,平均(40.10±30.50)ml,取得了良好的手术效果。结论腹腔镜子宫肌瘤剔除术是浆膜下或肌壁间子宫肌瘤年轻患者理想的手术方式。

Objective To discuss the technical processing characteristics of laparoscopic myomectomy.Methods Ninety-two cases with intramural or pedunculated subserosal uterine fibroids underwent laparoscopic myomectomy,and the clinical therapy methods and results of them were analyzed.Results All patients were successfully operated under laparoscopic.No patients were converted to abdominal-open myomectomy or no complication occurred.The operative time was 35-130 min,average（62.40 ± 35.20） min;the blood loss was 10-165ml,average（40.10 ± 30.50） ml,the surgical results were good.Conclusion Laparoscopic myomectomy can be recommended as an appropriate surgical method to young patients with intramural or pedunculated subserosal hysteromyoma.