论文部分内容阅读
目的评估腹腔镜下不同术式治疗子宫肌瘤的效果。方法选择2004年1月至2010年7月在成都市第五人民医院妇产科住院的51例子宫肌瘤患者,其中浆膜下肌瘤14例,肌壁间肌瘤28例,阔韧带肌瘤9例;肌瘤直径(diameter,d)平均约6.2cm(3～18cm),其中d<5cm17例(33.33%),d≥5cm34例(66.67%);单发肌瘤24例(47.06%),多发肌瘤27例(52.94%)。根据患者本人保留子宫的意愿及肌瘤的大小、位置、生育要求分别采用不同术式行腹腔镜子宫肌瘤切除术。结果子宫肌瘤切除术14例,子宫动脉结扎及子宫肌瘤切除术20例,子宫动脉临时阻断及子宫肌瘤切除术17例,所有病例腹腔镜手术均成功,无手术并发症及术后并发症。结论根据不同的病例特点和要求,运用不同的术式,在腹腔镜下行子宫肌瘤切除术可取得满意的临床疗效。
Objective To evaluate the effect of different surgical laparoscopic treatment of uterine fibroids. Methods From January 2004 to July 2010 in Chengdu Fifth People’s Hospital Obstetrics and Gynecology hospitalized 51 cases of uterine fibroids, including 14 cases of subserosal fibroids, myometrial tumors in 28 cases, broad ligament The diameter of the fibroids was about 6.2cm (3 ~ 18cm), including 17 cases (33.33%) with d <5cm and 34 cases (66.67%) with d≥5cm; 24 cases with single myoma (47.06% ), Multiple fibroids in 27 cases (52.94%). According to the wishes of the patients themselves to retain the uterus and the size of the fibroids, location, fertility requirements were performed using different surgical laparoscopic myomectomy. Results Fourteen cases of myomectomy, uterine artery ligation and myomectomy in 20 cases, uterine artery occlusion and hysterectomy in 17 cases, all cases of laparoscopic surgery were successful, no complications and postoperative complication. Conclusion According to different characteristics and requirements of cases, using different surgical procedures, laparoscopic myomectomy can achieve satisfactory clinical efficacy.