论文部分内容阅读
目的:探讨悬吊式腹腔镜下子宫肌瘤剔除术的临床应用价值。方法:对47例子宫肌瘤患者行悬吊式腹腔镜下子宫肌瘤剔除术。结果:47例手术全部成功,其中浆膜下肌瘤7例,肌壁间肌瘤28例,阔韧带肌瘤1例,浆膜下合并肌壁间肌瘤11例。单发肌瘤29例,多发性肌瘤18例,其中一例多达13枚。肌瘤直径0.5~8 cm,手术平均时间(84.24±28.09)min,术中出血(78.26±50.19)ml。术后体温最高38.0℃,2~3天后恢复正常,术后住院(7.00±0.88)天。结论:悬吊式腹腔镜下子宫肌瘤剔除术完成了开腹手术与腹腔镜手术的完美结合,是一种安全有效的较为理想的治疗子宫肌瘤的微创手术。
Objective: To investigate the clinical value of hysterectomy myomectomy. Methods: 47 patients with uterine fibroids underwent laparoscopic myomectomy. Results: All the 47 surgeries were successful, including 7 cases of subserosal fibroids, 28 cases of intramural fibroids, 1 case of broad ligament myoma, and 11 cases of submucous myomas. 29 cases of single myoma, multiple myomas in 18 cases, of which up to 13 cases. Fibroids diameter 0.5 ~ 8 cm, mean operative time (84.24 ± 28.09) min, intraoperative bleeding (78.26 ± 50.19) ml. Postoperative body temperature up to 38.0 ℃, 2 to 3 days later returned to normal, postoperative hospitalization (7.00 ± 0.88) days. Conclusion: Laparoscopic myomectomy is the perfect combination of laparotomy and laparoscopic surgery. It is a safe and effective minimally invasive surgery for uterine fibroids.