腹腔镜下巨大宫颈肌瘤切除术47例临床分析

The Clinical Analysis of 47 Cases of Laparoscopic Large Cervical Myomectomy

目的探讨腹腔镜下巨大宫颈肌瘤切除术的安全性和可行性。方法回顾分析沈阳市妇婴医院2012年1月-2017年5月经腹腔镜手术治疗的47例巨大宫颈肌瘤患者。结果所有手术均顺利完成，手术时间（62．37±20．54）min，术中失血（114±35）mL。47例患者均未输血，无一例中转开腹手术，无一例发生副损伤。结论如手术医师能够熟练掌握盆腔解剖结构，术前做好充分准备，术中仔细探查、小心操作，腹腔镜下手术有望成为巨大宫颈肌瘤的最佳治疗方式。

Objective To evaluate the feasibility and safety of laparoscopic large cervical myomectomy. Methods We retrospectively analyzed 47 cases of large cervical myoma who underwent laparoscopic cervical myomectomy from January, 2012 to May, 2017. Results All operations are complete smoothly. Laparoscopic cervical myomectomy required a mean time of （62.37±20.54） min. The average blood loss was （114±35） mL. No patients required transfusion or conversion to laparotomy, and no patients suffered side injury. Conclusion If the operater can familiar with pelvic anatomy, and surgery physicians make full preoperative preparation, careful intraoperative exploration and careful operation, laparoscopic surgery is expected to be the best treatment for large cervical myoma.