论文部分内容阅读
目的探讨腹腔镜辅助阴式子宫肌瘤切除术的临床应用价值。方法选择2006年3月~2013年4月间在邯郸红石医院妇产科就诊的多发性子宫肌瘤患者69例进行腹腔镜辅助阴式子宫肌瘤切除术。结果手术时间53±23(min)、术中出血量176±125(ml),挖出肌瘤数量平均7.6个(最多者18个,最少2个);肛门排气时间17.6±6(h)、术后住院天数4.6±1.4(d)。术后随访2~10个月,所有患者B超未见肌瘤复发。结论腹腔镜辅助阴式子宫肌瘤切除术融合了开腹、腹腔镜、阴式子宫肌瘤挖出3种术式的优点,又克服了他们各自的缺点,是一种较为理想的保留子宫的微创手术方式,值得临床推广。
Objective To investigate the clinical value of laparoscopic assisted vaginal myomectomy. Methods From March 2006 to April 2013, 69 patients with multiple myoma of uterine fibroids in Obstetrics and Gynecology Department of Handan Hongshi Hospital were treated with laparoscopic assisted vaginal myomectomy. Results The operation time was 53 ± 23 (min), the intraoperative blood loss was 176 ± 125 (ml), and the average number of myogenic tumors was 7.6 (up to 18, at least 2). The anal exhaust time was 17.6 ± 6 (h) , Postoperative hospital stay 4.6 ± 1.4 (d). All cases were followed up for 2 to 10 months. All patients had no recurrence of fibroids. Conclusions Laparoscopic assisted vaginal myomectomy combined with the advantages of laparotomy, laparoscopy and vaginal uterine myoma excavation of three kinds of surgery, but also overcome their respective shortcomings, is an ideal retention of the uterus Minimally invasive surgery, it is worth clinical promotion.