腹腔镜下手术治疗子宫肌瘤345例临床分析

Clinical analysis of 345 cases of laparoscopic surgery on hysteromyoma

目的 :探讨腹腔镜下手术治疗子宫肌瘤的临床价值。方法 :腹腔镜筋膜内子宫切除术 72例 ,腹腔镜子宫肌瘤切除术 2 73例。结果 :345例中 340例手术全过程均在腹腔镜下完成 ,5例中转开腹 ,手术成功率 98 5 5 %。两组手术均具有患者创伤小、痛苦轻、术后康复快、住院时间短等优点。结论 :用腹腔镜治疗子宫肌瘤具有微创手术的优点 ,两种手术均为安全有效保留器官的手术方法。

Objective:To explore the clinical value of gynecological laparoscopic surgery on hysteromyoma. Methods:A retrospective analysis on laparoscopic surgery was carried out,including 72 laparoscopic classical intrafascial supracervical hysterectomy (CISH) and 273 laparoscopic hysteromyomectomy.Results:5 of the 345 cases were switched to laparotomy. The succeed rate of laparoscopic surgery was 98.55%. Both the laparoscopic surgery would provide an advantage of less wound,less pain,shorter hospitalization period and rapid recovery.Conclusions:Laparoscopic surgery on hysteromyoma is an effective surgery procedure. It can induce minor trauma and remain organ,and life quality would be improved.