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目的探讨应用腹腔镜推结器经阴道套扎巨大子宫黏膜下肌瘤的临床疗效。方法巨大子宫黏膜下肌瘤患者27例,根据临床表现、妇科检查和B超检查确诊,均为单发带蒂肌瘤,采用腹腔镜推结器经阴道套扎后切除肌瘤,观察手术时间、出血量和并发症发生率。手术后1个月、3个月随访患者的月经恢复情况、血红蛋白水平等。结果肌瘤摘除率为100%,平均手术时间为(61.4±5.8)min,平均出血量为(92.5±8.3)ml。所有患者术中生命体征平稳,术后无一例发生感染及严重并发症。手术后1个月随访,92.6%的患者月经恢复正常;手术后3个月随访,100%的患者月经恢复正常。结论应用腹腔镜推结器经阴道套扎是治疗巨大子宫黏膜下肌瘤的有效方法,操作简单,并发症少,值得推广应用。
Objective To investigate the clinical efficacy of transvaginal ligation of giant uterine fibroids by laparoscope. Methods Twenty-seven patients with giant uterine fibroids were diagnosed by clinical examination, gynecological examination and B-ultrasound examination. All patients were single-band pedunculated fibroids. Laparoscopic sonographers were used to remove fibroids after vaginal ligation. The operative time , Bleeding and complication rate. 1 month after surgery, 3 months follow-up of patients with menstruation recovery, hemoglobin levels. Results The myomectomy rate was 100%. The average operation time was (61.4 ± 5.8) min. The mean bleeding volume was (92.5 ± 8.3) ml. All patients had stable vital signs during operation, and no infection and serious complications occurred after surgery. One month follow-up, 92.6% of patients returned to normal menstruation; 3 months after surgery, 100% of patients returned to normal menstruation. Conclusion Laparoscopic ligation device vaginal ligation is an effective method for the treatment of huge uterine fibroids, simple operation, fewer complications, it is worth promoting the application.