腹腔镜治疗子宫肌瘤106例临床疗效

Clinical experience of laparoscopy in the treatment of 106 cases of hysteromyoma

目的 观察腹腔镜治疗子宫肌瘤的临床效果.方法 回顾性分析近2年信阳市中医院使用腹腔镜诊治的106例子宫肌瘤患者的临床资料,根据术前诊断及术中情况选择手术方法.结果 106例手术均在腹腔镜下完成,无一例中转开腹,创伤小,手术时间45～ 110 min,术中出血量少（20～90 ml）,术后留置尿管24h,术后肛门排气时间10～29 h,住院天数5～7d.结论 腹腔镜治疗子宫肌瘤具有创伤小、术后恢复快、并发症少的优点,安全有效,值得临床推广.

Objective To observe the clinical effect of laparoscopy on the diagnosis and treatment of hysteromyoma.Methods The clinical data of 106 cases of hysteromyoma who were given laparoscopy for diagnosis and treatment in our hospital in recent two years were retrospectively analyzed.Operation methods were chosen according to the preoperative diagnosis and intraoperative circumstances.Results One hundred and six cases of operation were performed by laparoscope,and no case converted to laparotomy.Such surgery has such merits as minimal invasion,the operation time was 45-110 minutes,and the amount of bleeding was 20-90 ml.The time of micturition was 24 hours.The time of anus exhaustion in postoperative period was 10-29 hours and the time of hospitalization lasted for 5-7 days.Conclusions Laparoscopy in the treatment of hysteromyoma has the advantage of less trauma,faster postoperative recovery,less complications,safe and effective,which is worthy of clinical application.