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目的:探讨腹腔镜下子宫肌瘤剔除术的临床疗效。方法:对收治的331例腹腔镜下子宫肌瘤剔除术患者的临床资料进行回顾性分析。结果:331例患者均顺利完成手术,无1例中转开腹,手术时间30～120 min,平均(80.8±10.6)min;术中出血量50～150 ml,平均(85.1±25.5)ml;肛门排气时间10～35 h,平均(16.2±12.7)h;下床活动时间2～6 h,平均(3.3±1.2)h;术后镇痛剂使用率4.5%(15/331),术后病率为3.0%(10/331);住院时间2～8天,平均(4.5±0.9)天。术后全部随访1～3个月,无出血、子宫破裂等远期并发症,均恢复正常月经。结论:腹腔镜下子宫肌瘤剔除术创伤小,术后恢复快,并发症少,是一种安全、疗效确切的手术方式,有良好的应用前景。
Objective: To investigate the clinical efficacy of laparoscopic myomectomy. Methods: The clinical data of 331 patients undergoing laparoscopic myomectomy were analyzed retrospectively. Results: All of the 331 patients completed the operation successfully. None of them underwent laparotomy. The operation time was 30 to 120 minutes (mean, 80.8 ± 10.6) min. The blood loss was 50 to 150 ml, with an average of (85.1 ± 25.5) ml. The average time of bed ambulation was 2 ~ 6 h (average 3.3 ± 1.2 h); the rate of postoperative analgesic use was 4.5% (15/331) The prevalence rate was 3.0% (10/331). The length of hospital stay was 2 to 8 days with an average of (4.5 ± 0.9) days. All patients were followed up for 1-3 months without any long-term complications such as hemorrhage and uterine rupture, all of whom returned to normal menstruation. Conclusions: Laparoscopic myomectomy is a safe, effective surgical procedure with small trauma, rapid recovery after operation and few complications. It has a good prospect of application.