腹腔镜下特殊部位子宫肌瘤剔除术35例手术探讨  

Surgery of laparoscopic myomectomy in special locations for 35 cases

作　　者：张博[1] 周琦[2] 李斯静[3] 

机构地区：[1]首都医科大学附属北京妇产医院妇科微创中心,北京100026 [2]首都医科大学附属北京妇产医院妇科,北京100026 [3]首都医科大学附属北京妇产医院超声科,北京100026

出　　处：《中国妇幼健康研究》2014年第5期893-894,共2页Chinese Journal of Woman and Child Health Research

摘　　要：目的：探讨腹腔镜下特殊部位子宫肌瘤剔除术的手术技巧。方法对宫颈肌瘤（9例）、阔韧带肌瘤（22例）、残角子宫肌瘤（1例）及剖宫产术后膀胱与子宫前壁粘连处子宫肌瘤（3例）共35例行腹腔镜下子宫肌瘤剔除术，并对上述病例进行临床分析。结果35例均在腹腔镜下完成手术，无1例中转开腹手术，无1例手术并发症发生。35例子宫肌瘤最大直径4～12cm，平均最大直径（6．46±1．56）cm。手术时间40～190min，平均手术时间（85．43±35．88）min，术中出血量10～250mL，平均术中出血量（60．29±52．05）mL，术后住院时间2～7d，平均术后住院时间（4．49±1．40）d。结论在充分的术前评估和准备的前提下腹腔镜下特殊部位子宫肌瘤剔除术是安全可行的，关键是掌握熟练的临床手术技巧。Objective To investigate the operative skills of laparoscopic myomectomy in special locations.Methods The clinical data of 35 cases undergoing laparoscopic myomectomy were retrospectively analyzed.Among these cases there were 9 cases of cervical myoma, 22 cases of myoma of broad ligament of uterus, 1 case of myoma of uterus unicornis and 3 cases of myoma located in adhesion of bladder and the anterior wall of the uterus after caesarean.Results Totally 35 cases were all operated successfully by laparoscope.There was no complication in all cases.The maximum tumor size in diameter was 4-12cm with mean of 6.46 ±1.56cm.The operation time was 40-190min with mean of 85.43 ±35.88min.The intraoperative blood loss was 10-250mL, with mean of 60.29 ±52.05mL.The length of hospital stay was 2-7d with mean of 4.49 ±1.40d.Conclusion On the premise of sufficient preoperative assessment and preparation, laparoscopic myomectomy is safe and feasible.The key is to master skilled operative techniques.

关 键 词：子宫平滑肌瘤 腹腔镜 外科微创 子宫肌瘤剔除术 

分 类 号：R713.4[医药卫生—妇产科学]