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目的探讨腹腔镜辅助阴式较大子宫肌瘤切除术(Laparoscopic assisted transvaginal myomectomy,LATM)的临床应用价值。方法选择2005年7月~2014年4月间在本院妇产科就诊的多发性子宫肌瘤(至少1个肌瘤直径>9CM)患者186例进行LATM。结果手术时间51±24(min)、术中出血量178±95(ml),挖出肌瘤数量平均7.2个(最多者9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 LATM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 transvaginal myomectomy (LATM). Methods Totally 186 patients with multiple uterine fibroids (at least 1 myoma diameter> 9 cm) treated in our obstetrics and gynecology department from July 2005 to April 2014 were selected for LATM. Results The operation time was 51 ± 24 (min), the intraoperative blood loss was 178 ± 95 (ml), and the number of dredged fibroids was 7.2 on average (at most 9, 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. Conclusion LATM combines the advantages of laparotomy, laparoscopy and vaginal uterine myoma excavated three kinds of surgery, but also overcome their respective shortcomings, it is an ideal minimally invasive surgery to retain the uterus, which is worthy of clinical promotion