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目的 探讨腹腔镜下子宫肌瘤剔除术的治疗效果及其影响因素。方法 腹腔镜下对 10 7例子宫肌瘤患者行子宫肌瘤剔除术 ,其中单发肌瘤 73例 ,多发肌瘤 34例。单发肌瘤中肌壁间肌瘤 41例 ,浆膜下肌瘤 30例 ,阔韧带肌瘤 2例。结果 10 7例手术均获成功 ,术中失血 (91 2 1± 99 31)mL ;手术时间 (10 3 6 2± 47 0 9)min ;术后肛门排气 (1 93± 0 30 )d ;术后病率 0 ;术后住院天数 (4 94± 1 80 )d ;无严重术后并发症。术中出血量和手术时间主要与肌瘤生长部位 (壁间肌瘤 )及其大小有关。结论 腹腔镜下子宫肌瘤剔除术具有微创手术的一切优点 ,是一安全有效的保留器官的手术方法
Objective To investigate the therapeutic effect of laparoscopic myomectomy and its influencing factors. Methods Laparoscopic myomectomy was performed on 107 cases of uterine fibroids, including 73 cases of single myoma and 34 cases of multiple fibroids. 41 cases of single fibroids intramural fibroids, 30 cases of subserosal fibroids, 2 cases of broad ligament myoma. Results All of the 107 cases were successful in operation, with blood loss during operation (91 2 1 ± 99 31) mL, operation time (10 362 ± 47 0 9) min, postoperative anal exhaust (1 93 ± 0 30) d, Postoperative morbidity 0; postoperative hospital stay (4 94 ± 1 80) days; no serious postoperative complications. Intraoperative bleeding and surgical time mainly with fibroids growth site (intramural fibroids) and its size. Conclusions Laparoscopic myomectomy has all the advantages of minimally invasive surgery and is a safe and effective surgical method for organ preservation