腹腔镜子宫肌瘤切除98例临床分析

Clinical analysis of laparoscopic assisted uterine myomectomy on 98 patients

目的:探讨腹腔镜子宫肌瘤切除的临床特点、适应证、手术技巧、术后恢复情况及并发症。方法:对本院2010年1～12月住院行腹腔镜子宫肌瘤切除的患者的临床资料进行回顾性分析。结果:腹腔镜子宫肌瘤的手术时间、出血量的多少、输血人数与子宫肌瘤的大小、数目及部位有关。术后住院时间短,术后病率及复发率低。结论:正确的掌握腹腔镜子宫肌瘤切除的适应证可缩短患者的恢复时间,并保留子宫,满足患者的生理及心理需要。

Objective： To investigate the clinical characteristics, indications, surgical skills, postoperative recovery and complications of laparoscopic assisted uterine myomectomy. Methods： The clinical data of 98 cases of uterine myoma patients from January to December in 2010 were retrospectively analyzed after laparoscopic assisted uterine myomectomy in our hospital. Results： It showed that the operation time, mean blood loss and the case of blood transfusion were in direct proportion to the myoma size, quantity and position. The hospital stays after laparoscopic myomectomy were short, and the postoperative morbidity and recurrence rate were low. Conclusion： To correctly grasp the indications of laparoscopic assisted uterine myomectomy can not only shorten the patient＇s recovery time, but also retain the uterus, which will meet the patient＇s physical and psychological needs.