腹腔镜治疗子宫肌瘤67例临床分析  

Laparoscopic treatment of clinical analysis of 67 cases of uterine fibroids

作　　者：张庆兵[1] 杨宁[1] 张雪刚[1] 沈燕[1] 赵雅萍[1] 

机构地区：[1]昆山市第一人民医院妇科,江苏昆山215300

出　　处：《现代生物医学进展》2011年第23期4504-4505,共2页Progress in Modern Biomedicine

摘　　要：目的:探讨腹腔镜子宫肌瘤剔除术的临床效果及应用价值。方法:回顾分析经腹腔镜行子宫肌瘤剔除术67例患者的临床资料。结果:67例子宫肌瘤患者中,单发肌瘤47例(含壁间肌瘤32例、阔韧带肌瘤7例、浆膜下肌瘤8例),多发肌瘤20例,全部在腹腔镜下完成手术,手术时间(92.3±32.6)min,术中出血(58.7±39.2)ml,术后住院时间为(8.7±1)d,,无中转开腹和严重并发症发生。术后随访,19例在1-2a内怀孕,无腹壁粘连及子宫破裂后遗症。结论:腹腔镜子宫肌瘤剔除术安全、可靠,创伤小,恢复快,并发症发生率低,能维持正常生育功能。Objective： To evaluate the laparoscopic myomectomy clinical results and value. Methods： A retrospective analysis after laparoscopic myomectomy 67 patients with clinical data. Results： 67 patients with uterine fibroids, a single myoma （47 cases with intramural fibroids in 32 cases, seven cases of broad ligament fibroids, subserosal fibroids 8 cases）, multiple fibroids in 20 cases, all in the abdominal cavity complete endoscopic surgery, operative time （92.3± 32.6） min, blood loss （58.7 ± 39.2） ml, postoperative hospital stay （8.7 ± 1） d, no conversion to open surgery and serious complications. Postoperative follow-up, 19 cases in the 1-2a in pregnancy, no uterine rupture abdominal adhesions and sequelae. Conclusion： Laparoscopic myomectomy is safe, reliable, less invasive, quick recovery, low complication rate, to maintain normal reproductive function.

关 键 词：子宫肌瘤 腹腔镜 子宫肌瘤剥除术 疗效 

分 类 号：R737.33[医药卫生—肿瘤]