腹腔镜下袋式子宫肌瘤切除术的54例分析

Clinical Analysis of 54 cases with Laparoscopic Bag Hysteromyoma Resection

目的探讨腹腔镜下袋式子宫肌瘤切除治疗多发性子宫肌瘤的临床效果及可行性。方法腹腔镜组为54例多发性子宫肌瘤患者行腹腔镜袋式子宫肌瘤切除术,对照组为54例患者行经腹多发性子宫肌瘤切除,观察两组手术时间、术中出血量、术后排气时间、术后住院天数等情况。结果所有病例手术均获成功,无一例中转开腹,无手术并发症发生。腹腔镜组平均手术时间(118.35±2.98)min,术中出血(96.06±1.86)mL,术后排气时间(22.13±0.53)h,术后住院天数(4.17±0.15)d。腹腔镜组术中出血少、术后肠功能恢复快、住院天数短,与开腹组比较差异有统计学意义(P<0.05)。结论腹腔镜下袋式子宫肌瘤切除术是安全、可行的,扩大了腹腔镜子宫肌瘤切除术的手术指征。

Objective To investigate the feasibility of laparoscopic bag hysteromyoma resection.Methods Fifty—four patients with multiple uterine myomas undergoing laparoscopic myomectomy were analyzed.The patients were divided into two groups according to the surgical pathway,LM（laparoscopic myomectomy） group and OM（open myomectomy） group.The clinical features such as the average operating time,blood loss,postoperative exhaust time and average time of hospital stay were compared among the two groups.Results All cases were performed successfully laparoscopically.No intra-operative laparotomy or complications occurred.The average operating time were（118.35±2.98）min and blood loss were（96.06±1.86）mL.The postoperative exhaust time and average time of hospital stay was（22.13±0.53）min and（4.17±0.15）d.The blood loss,postoperative exhaust time and average time of hospital stay in LM group were significandy less than those in OM group（P〈0.05）.Conclusions Laparoscopic bag hysteromyoma resection can be performed and the operation indication is enlarged.