腹腔镜子宫肌瘤切除术术中出血的临床分析(附46例报告)

Clinical analysis of intraoperative bleeding in laparoscopic myomectomy: with a report of 46 cases

目的:探讨腹腔镜子宫肌瘤切除术术中减少出血的方法。方法:回顾分析为46例患者行腹腔镜子宫肌瘤切除术的临床资料,分析术中出血情况。结果:45例顺利完成腹腔镜手术,1例因术中出血多、镜下缝合困难中转开腹。术中出血量23例少于100 ml,16例为100～200 ml,7例在200 ml以上。结论:选择合适的病例、提高镜下操作技能、适当应用子宫收缩剂利于减少腹腔镜子宫肌瘤切除术术中出血。

Objective ：To study the method of reducing hemorrhage in laparoscopic myomectomy. Methods： The clinical data of 46 patients who underwent laparoscopic myomectomy were retrospectively analyzed, the intraoperative bleeding was analyzed. Results： Laparoscopic operation was successfully completed in 45 patients, 1 patient was converted to laparotomy because of large amount of intr- aoperative blood loss and difficult suture under laparoscopy. During the operation, the amount of blood loss was less than 100 ml in 23 cases, between 100-200 ml in 16 cases, and more than 200 ml in 7 cases. Conclusions：The following procedures can reduce blood loss in laparoscopic myomeetomy ： selection of appropriate cases, improvement of laparoscopic operation skills, and proper use of hysteroton- ies.