摘要
目的探讨腹腔镜下子宫肌瘤核除术的手术适应证、禁忌证、手术技巧、手术效果及术后并发症。方法对该院2002年1月～2005年6月于腹腔镜下行子宫肌瘤核除术的40例病例作回顾性分析。结果共核除肌瘤54个。单发肌瘤36例,多发肌瘤4例。镜下缝合38例,未缝合2例。手术时间、出血量与肌瘤的大小、个数成正比。术后平均住院时间4d,1例术后出现发热。结论浆膜下肌瘤、单发壁间肌瘤直径小于7cm,于腹腔镜下行子宫肌瘤核除术效果好,手术时间短,出血少,并发症少。
[Objective] To investigate the indications, contraindications, operative techniques, operating results and postoperative complications of myomectomy under lapaorscopy. [Methods] 40 cases diagnosised myoma in our department from January 2002 to June 2005 were retrospectively analyzed. [Results] 54 myomas were excised gotten rid of in all. There were 36 cases with single myoma, 4 eases with mutiple mytiple myoma. 38 cases were used suturing to hemostasis. 2 cases were not used suturing to hemostasis. The operation time and mean blood loss were direct ratio with the big or small myoma. The average time of post surgery hospitalization was 4 days. One case had a fever after operation. [ Conclusions] This study suggests the feasibility of laparoscopic myomectomy in subserous UMs and intramural UMs 〈7 cm. There was a better result from laparoscopic myomectomy, little operation time, less blood loss and few complications.
出处
《中国内镜杂志》
CSCD
北大核心
2006年第6期616-618,共3页
China Journal of Endoscopy
