腹腔镜下宫颈肌瘤核除术的手术操作技巧及临床分析

Key Points and Case Analysis of Laparoscopic Cervical Myomectomy

目的探讨腹腔镜下宫颈肌瘤核除术的可行性及手术操作技巧。方法回顾性分析腹腔镜下宫颈肌瘤核除术的病例58例,通过手术方法,手术时间,术中出血量,术后排气时间及出院时间等临床资料进行临床分析及经验总结。结果 58例患者手术操作均打开肌瘤包膜,下推膀胱或游离输尿管,彻底止血,腹腔镜下宫颈肌瘤核除术的手术时间为(64±25)min,术中出血量(100±50)m L,术后排气时间(31±11)h,术后出院时间(4±1)d。结论掌握腹腔镜手术操作要点及技巧,清楚地辨认解剖结构,彻底止血,腹腔镜下宫颈肌瘤核除术是安全的,有效的,可行的,术后排气快,住院时间短,而且可达到微创效果。

Objective To explore the feasibility and operative skills of laparoscopic cervical myomectomy. Methods A retrospective analysis was performed on 58 cases of laparoscopic cervical myomectomy, and clinical analysis and experience were conducted through surgical methods, operation time, intraoperative blood loss, postoperative exhaust time and hospitalization day. Results During all of the 58 patients surgical operation, we open the myoma capsule, push down the bladder or free ureter, complete hemostasis, the operation time of laparoscopic cervical myomectomy was(64±25) min, the intraoperative blood volume was(100±50) mL, postoperative exhaust time was(31±11) hours, hospitalization day was(4±1) day. Conclusion With the rapid development of gynecological endoscopy technology, it is safe, effective, feasible and minimally invasive to master the operating points and skills of laparoscopic surgery, clearly identify the anatomical structures, completely stop bleeding, for performing laparoscopic cervical myomectomy.