腹腔镜下子宫肌瘤剥除术50例临床分析

An analysis of 50 cases underwent hysteromyomectomy under laparoscopy

目的探讨腹腔镜下子宫肌瘤剥除术的效果。方法回顾性分析50例腹腔镜下子宫肌瘤剥除术患者的临床资料。结果 50例均在腹腔镜下完成。其中,肌壁间肌瘤40例,多发性肌瘤6例,阔韧带肌瘤2例,浆膜下肌瘤2例。手术时间35-60min,术中出血60-300ml;平均术后住院时间4d。1例患者术后第3天发生左下肢深静脉血栓形成,经溶栓治疗后好转。结论只要严格掌握手术适应证,腹腔镜下子宫肌瘤剥除术是一种安全、有效的微创手术。

Objective To investigate the clinical outcomes ot hysteromyomectomy under laparoscopy. Methods Clinical data of 50 patients underwent hysteromyomectomy under laparoscopy were retrospectively analyzed. Results The surgeries in 50 cases were all successful. The pathological diagnosis was intramural myoma in 40 cases, multiple myoma in 6 cases, broad ligament myoma in 2 cases, and subserosal myoma in 2 cases. The operation time was 35-60 rain with surgical blood loss of 60-300 ml. The mean hospital stay was 4 days. There was one case who occurred thrombosis in the deep vein of the low extremity on the 3rd day after operation, which was improved by thrombolytic therapy. Conclusion Hysteromyomectomy under laparoscopy is an effecitive and safe procedure with minimal invasions as long as selecting the indications strictly.