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目的:探讨腹腔镜子宫肌瘤剔除术的临床应用价值。方法:对56例子宫肌瘤患者行腹腔镜子宫肌瘤剔除术。结果:共剔除肌瘤85个,手术均顺利完成,无中转开腹病例;手术时间(89.15±16.41)min,出血量(102.31±34.12)mL,术后肛门排气时间(11.28±1.24)h,术后住院(3.86±1.32)d,术后患病率7.1%,无脏器损伤等严重并发症。术后随访1年,肌瘤复发1例。结论:腹腔镜子宫肌瘤剔除术具有创伤小、术后恢复快、住院时间短等优点,并可保留子宫,保留生育机能及提高患者生存质量。
Objective: To investigate the clinical value of laparoscopic myomectomy. Methods: 56 cases of uterine fibroids underwent laparoscopic myomectomy. Results: A total of 85 fibroids were excluded. The operation was completed successfully without conversion to laparotomy. The operative time (89.15 ± 16.41) min, the amount of bleeding (102.31 ± 34.12) mL, the time of postoperative anus venting (11.28 ± 1.24) h , Postoperative hospitalization (3.86 ± 1.32) d, postoperative morbidity 7.1%, no serious complications such as organ injury. Follow-up 1 year after surgery, fibroids recurrence in 1 case. Conclusion: Laparoscopic myomectomy has the advantages of less trauma, quick recovery after surgery, shorter hospital stay, etc, and can retain the uterus, retain the function of reproduction and improve the quality of life of patients.