改良悬吊式腹腔镜子宫肌瘤切除术38例临床分析  

Study of Improved Gasless Laparoscopic Technique in Myomectomy

作　　者：马丹[1] 薛燕[1] 

机构地区：[1]大连市中心医院妇产科,辽宁大连116033

出　　处：《中国现代医生》2010年第5期106-107,134,共3页China Modern Doctor

摘　　要：目的探讨改良悬吊式腹腔镜子宫肌瘤切除术的应用价值。方法2006年1月～2009年6月实施改良悬吊式腹腔镜子宫肌瘤切除术38例患者的临床资料,并在同期使用气腹式腹腔镜子宫肌瘤切除术32例作为对照。结果悬吊组均在镜下完成,气腹组1例中转开腹。悬吊式组在平均手术时间、术中出血量和术后疼痛发生率方面均优于气腹组,差异有统计学意义。在术后体温恢复正常时间、肛门排气时间方面无统计学差异。术后8例出现9次术后妊娠,其中两例有生育要求者成功妊娠至晚期行剖宫产手术分娩。结论改良悬吊式腹腔镜子宫肌瘤切除术是一种较好的治疗妇科疾病的微创技术,可能会成为子宫肌瘤手术治疗的标准术式。Objective To compare the feasibility, safety,reliability and postoperative outcomes of myomectomy performed by improved gasless laparoscopy and conventional laparoscopy. Methods Seventy women with symptomatic uterine myomas were divided into improved gasless laparoscopy group（ n = 38 ）and conventional laparoseopy group（ n = 32 ）. Results Compared with conventional laparoscopic myomectomy, improved gasless laparoscopy resulted in less intra-operative and postoperative blood loss, shorter operating time and less incidence of postoperative pain.However time for body temperature recovery and anal exsufflation time discharge time had no significantly differences between two groups. Eight patients had nine postoperative pregnancies and two of them had cesarean section in late pregnancy. Conclusion Improved gasless laparoscopic myomectomy exhibits more advantages than the conventional laparoseopy, and may become the standard mymectomy.

关 键 词：子宫肌瘤切除术 改良悬吊式腹腔镜 微创手术 

分 类 号：R733.33[医药卫生—肿瘤]