腹腔镜下大子宫肌瘤剔除术98例临床分析  

Laparoscopic myomectomy for hysteromyoma in 98 patients with uterus larger than 12-week gestational size

作　　者：高蓉[1] 李明[2] 魏荣福[1] 

机构地区：[1]都江堰市人民医院妇产科,四川都江堰611830 [2]四川省妇幼保健院妇产科,四川成都610031

出　　处：《西部医学》2011年第10期1910-1911,共2页Medical Journal of West China

摘　　要：目的探讨腹腔镜下子宫大肌瘤剔除术的可行性、安全性和手术技巧。方法以腹腔镜对98例大子宫肌瘤(肌瘤最大直径≥7cm;子宫体积>12孕周)行肌瘤剥除术,观察并记录术中情况及恢复过程。结果98例均顺利完成手术,无中转开腹病例,手术时间(90±43)min,其中缝合时间占60%,取瘤时间占20%,出血量(156±52)ml,其中缝合时出血占70%,住院时间(5.4±2.5)d。随访1～3月恢复正常,无术中、术后并发症发生。结论腹腔镜子宫大肌瘤剔除术是安全可行的,但医师应具备丰富的腹腔镜手术经验及熟练的镜下缝合技术。Objective To explore the feasibility,safety,and surgical techniques of the laparoscopic myomectomy for hysteromyoma in cases with uterus larger than 14-week gestational size.Methods 98 cases of laparoscopic large uterine fibroids（uterine myoma diameter ≥7 cm;uterine volume 12 weeks of gestation） underwent cystectomy fibroids were observed and recorded intraoperative conditions and recovery process.Results 98 patients were successfully operated,with no conversion to open operation time 90±43min,which accounted for 60% of suturing time,take the time to 20% of tumors,blood loss 156±52ml,of which 70% of suture bleeding,hospitalization Time（5.4±2.5） d.1 to 3 months follow-up back to normal,no other complications occurred during surgery.Conclusion Laparoscopic uterine fibroids large excavation technique is safe and feasible,but the doctor should have rich experience and skilled laparoscopic endoscopic suturing techniques.

关 键 词：腹腔镜 子宫肌瘤剔除术 巨大子宫肌瘤 

分 类 号：R737.33[医药卫生—肿瘤]