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目的探讨超声检查在电视腹腔镜子宫肌瘤剔除术(LM)前中后的价值及临床意义。方法对98例子宫肌瘤患者行LM用超声进行常规检查,并与手术、病理结果对照。结果本组98例超声诊断与手术病理符合95例,符合率96.94%,LM成功90例,占91.94%,中转开腹8例,并发症5例,漏误诊3例,有1例在LM中发现为子宫肉瘤,2例为子宫腺肌瘤。结论超声检查子宫肌瘤为临床提供了良好手术前选择的依据,同时对手术难度的预测、术中的定位、术后并发症的发现及动态观察疗效等方面有较大的实用价值,是LM前中后首选和理想的影像诊断方法。
Objective To explore the value and clinical significance of ultrasonography before and after TV laparoscopic myomectomy (LM). Methods A total of 98 patients with uterine fibroids underwent LM routine ultrasound examination and surgical and pathological results. Results The group of 98 cases of ultrasound diagnosis and surgical pathology consistent with 95 cases, the coincidence rate of 96.94%, LM successful 90 cases, accounting for 91.94%, open laparotomy in 8 cases, complications in 5 cases, misdiagnosis in 3 cases, 1 case in LM Found for uterine sarcoma, 2 cases of adenomyosis. Conclusions Ultrasound examination of uterine fibroids provides a good basis for preoperative selection. At the same time, it has great practical value in the prediction of surgical difficulty, intraoperative location, postoperative complications and dynamic observation of efficacy. LM Pre-and post-preferred and ideal diagnostic imaging method.