腹腔镜子宫肌瘤剔除术490例临床分析

Clinical Analysis of 490 Cases of Laparoscopic Myomectomy

目的探讨腹腔镜子宫肌瘤剔除术的应用效果。方法回顾分析我院腹腔镜子宫肌瘤剔除术490例的临床资料。结果 490例手术时间(76±42)min,出血量(190±82)ml。中转开腹5例,余均顺利完成,发生并发症13例,经治疗后痊愈。结论腹腔镜子宫肌瘤剔除术是一种安全、可行的手术方式,但需注意既往疾病史及肌瘤大小、数量及肌瘤位置。

Objective To analyze the clinical utility of laparoscopic myomectomy.Methods Clinical data of 490 cases of laparoscopic myomectomy in our hospital were reviewed.Results In 490 cases,the average operation time was（76±42） min,the volume of intraoperative bleeding was（190±82） ml.Of them,5 cases were subject to open surgery.The rest were successfully treated.There were 13 cases with complications after treatment.Conclusion Laparoscopic myomectomy is safe and feasible,but attention should be paid to the size,location and amount of myoma,as well as the disease history.