腹腔镜巨大子宫肌瘤切除术33例分析  

Clinical analysis of laparoscopic myomectomy for gigantic hysteromyoma:a report of 33 cases

作　　者：赵绍杰[1] 张向宁[2] 张红[1] 盛春艳[1] 

机构地区：[1]无锡市妇幼保健院,江苏无锡214002 [2]山东大学齐鲁医院

出　　处：《腹腔镜外科杂志》2011年第6期475-477,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的手术技巧和可行性。方法:回顾分析2010年3月至2010年12月为362例患者行腹腔镜子宫肌瘤切除术的临床资料,其中直径>10 cm的巨大子宫肌瘤33例,观察其手术时间、术中出血量、术后恢复状况、住院时间、术中术后并发症等。结果:33例患者均在腹腔镜下完成手术,无一例中转开腹。术后2例皮下气肿,1例阴道流血,术后病率低。手术时间平均95min,术中出血平均110ml,平均住院6.3d。结论:只要术者具有丰富的腹腔镜手术经验,熟练掌握各种镜下分离、旋切、缝合等手术技巧,腹腔镜巨大子宫肌瘤切除术是安全可行的。Objective：To investigate the feasibility and operative skills of laparoscopic myomectomy for gigantic hysteromyoma.Methods：The clinical data of 362 cases with hysteromyoma treated by laparoscopic myomectomy were analyzed.The hysteromyoma was 10cm in 33 cases.Operative time,hemorrhage,postoperative recovery,hospital stay and complications were obseryed.Results：Thirty-three cases were performed laparoscopy successfully.The mean operative time was 95min.The mean blood loss was 110ml,and the mean hospital stay was 6.3d.Conclusions：Laparoscopic myomectomy for gigantic hysteromyoma is safe and feasible in experienced surgeons.

关 键 词：子宫肌瘤 子宫肌瘤切除术 腹腔镜检查 

分 类 号：R737.33[医药卫生—肿瘤]