腹腔镜巨大子宫肌瘤切除术的临床体会  

Clinical study of laparoscopy for gigantic hysteromyoma myomectomy

作　　者：赵宏辉[1] 刘艳庚[1] 

机构地区：[1]哈尔滨二四二医院,黑龙江哈尔滨150066

出　　处：《腹腔镜外科杂志》2008年第4期306-308,共3页Journal of Laparoscopic Surgery

摘　　要：目的：探讨腹腔镜巨大子宫肌瘤切除术（laparoscopic myomectomy,LM）的可行性及临床价值。方法：回顾分析2003年1月至2007年8月我院妇科收治的直径8-13cm子宫肌瘤患者的临床资料,比较34例LM及28例同期开腹子宫肌瘤切除术的手术效果和术后康复情况。结果：两组手术均获成功,无并发症发生。手术时间腹腔镜组显著长于开腹组,术中出血量腹腔镜组与开腹组无统计学差异,术后平均排气时间及住院时间腹腔镜组显著短于开腹组。结论：LM安全可行,但需要医师有丰富的腹腔镜手术经验及缝合技术。与开腹手术相比LM创伤小、住院时间短、康复快。术中出血量无增加,但手术时间延长,可能与肌瘤较大取出费时及缝合困难有关。Objective：To investigate the feasibility and clinical value of laparoscopic myomectomy of gigantic hysteromyoma. Methods ：Thirty-four cases with hysteromyoma treated by laparoscopic myomectomy were analyzed as the laparoscopic myomectomy group and 28 cases with hysteromyoma treated by open myomectomy during the same period were selected as the control group. The hysteromyoma was 8-13cm. Effects of operation and recovery of the patients in the two groups were compared. Results：Operations of all cases were performed successfully without any complication. In the laparoscopic myomectomy group, the mean operating time was longer than that in control group during operation（ P 〈 0.05 ）. There was no significant difference in blood loss during operation between the two groups（P〉0.05）. The mean recovery time of bowel function and average postoperative hospitalization were shorter than that in control group （P 〈 0.05 ）. Conclusions：Laparoscopic myomectomy is safe and feasible. As compared with open myomectomy, LM is as- sociated with less postoperative pain, shorter hospitalization and quicker recovery, as well as the same amount of blood loss, but operators should have plentiful experience of laparoscopic procedures and the suturing skills under laparoscopy. Its prolonged operative time may be associated with the relatively large size of the hysteromyoma and difficulty of sewing up.

关 键 词：巨大子宫肌瘤 腹腔镜术 子宫肌瘤剔除术 

分 类 号：R737.33[医药卫生—肿瘤]