论文部分内容阅读
目的 进一步探讨腹腔下子宫肌瘤切除术的适应证、手术技巧、优越性、并发症。方法 比较分析 5 3例行腹腔镜下子宫肌瘤切除术及经腹子宫肌瘤切除术 5 0例的临床效果。结果 5 3例腹腔镜组中5 1例手术顺利 ,2例中转开腹 (3.73% ) ,术后 3d内最高体温平均 37.6℃ ,平均手术时间 10 0 .2 2min ,术中出血量平均 4 1.73ml。腹腔镜组较开腹组手术时间长 ,出血量少。结论 腹腔镜下子宫肌瘤切除具有创伤小、恢复快、出血少、并发症少等优点。但由于受手术空间及手术技巧的限制 ,肌瘤过大或阔韧带肌瘤是否为腹腔镜手术的适应证还需进一步探讨。
Objective To further explore the indications of abdominal myomectomy, surgical techniques, superiority, complications. Methods A comparative analysis of 53 cases of laparoscopic myomectomy and abdominal myomectomy 50 cases of clinical results. Results In 51 cases of laparoscopic group, 51 cases were operated successfully, 2 cases were converted to open surgery (3.73%), the highest body temperature was 37.6 ℃ in 3 days after operation, the average operation time was 10.22 minutes, the average amount of bleeding during operation was 4.73 ml. Laparoscopic group than open group surgery for a long time, less bleeding. Conclusion Laparoscopic myomectomy has the advantages of less trauma, faster recovery, less bleeding and fewer complications. However, due to the limitations of surgical space and surgical techniques, fibroids is too large or broad ligament fibroids indications for laparoscopic surgery need to be further explored.