84例腹腔镜下子宫后壁大肌瘤剥除术临床分析

Clinical analysis laparoscopic myomectomy for 84 cases with posterior uterine wall fibroids

目的探讨腹腔镜下后壁子宫大肌瘤手术的临床应用价值。方法回顾性分析84例腹腔镜下后壁大子宫肌瘤剥除术的手术过程,观察手术时间、出血量、术后恢复情况等。结果手术平均时间为(70.6±40.8)min,术中平均出血量(80.6±42.5)m L,术后排气时间(24.00±6.58)h,术后住院时间(3.80±1.23)d,术后腹部伤口均愈合良好,其中4例因术野暴露不清,中转开腹,余均能在镜下手术完成,且无术后并发症。结论只要掌握一定的手术技巧,肌瘤大小不是腹腔镜手术绝对禁忌证。

Objective To investigate the surgical technique and the clinical effect of laparoscopic myomectomy in the treatment of the posterior uterine wall intramural myoma. Methods A retrospective analysis of laparoscopic uterine fibroids divest technique was conducted. The operation time,blood loss and postoperative recovery were observed. Results The mean time of operation was（ 70. 6 ± 40. 8） min,the mean amount of bleeding was（ 80. 6 ± 42. 5） mL,postoperative exhaust time was（ 24 ± 6. 58） h,the hospitalization time after operation was（ 3. 80 ± 1. 23） d,and postoperative abdominal wound healed well.Among them,4 cases were converted to laparotomy because of poor operative field exposure. No complication occurred. Conclusion Uterine fibroids size is not the ultimate determinant of laparoscopic surgery or laparotomy.