腹腔镜下剔除肌瘤后全子宫切除术32例观察

Observation of uterine fibroids laparoscopic hysterectomy of 32 cases

目的探讨对子宫肌瘤患者进行腹腔镜下剔除肌瘤后全子宫切除术的安全性及手术技巧。方法回顾分析我院收治的32例子宫≥孕12周的子宫肌瘤患者行腹腔镜下剔除肌瘤后全子宫切除术的临床资料。结果 32例均在腹腔镜下完成手术,无中转开腹病例。平均手术时间102(86～125)min;平均术中出血75(50～160)ml;术后恢复无异常。随访3个月,恢复良好。结论对子宫≥孕12周的子宫肌瘤患者施行腹腔镜下剔除肌瘤后全子宫切除术安全可行,不增加手术危险性和并发症,但要求术者合理应用止血药物并有熟练的腹腔镜手术操作技巧。

Objective To investigate the safety and operation skills of uterine fibroids laparoscopic hysterectomy. Methods Thirty-two patients with uterine fibroids for 12 weeks who were treated with uterine fibroids laparoscopic hysterectomy were retrospectively analyzed. Results Thirty-two cases were operated with laparoscopic surgery. No one was transferred to opening appendectomy. The average operation time was 102 （86 - 125 ）min. The average intraoperative blood loss was 75 ml, an average of 75 （50 - 160）ml. No postoperative recovery abnormalities was found. After 3-month follow-up, we found the recovery was good. Conclusion The uterine fibroids laparoscopic hysterectomy for the patients with uterine fibroids for 12 weeks which does not increase the operation risk and com- plications is safe and feasible. The surgeon must apply the hemostatics reasonably and has the skillful techniques of performing laparo- scopic hysterectomy.