44例宫颈肌瘤手术探究

目的:探讨宫颈肌瘤的术式选择及手术途径。方法:对1995年1月2004年12月该院收治的44例宫颈肌瘤的手术途径、术式选择以及结果进行评估。结果:8例小型宫颈壁间及浆膜下肌瘤(<5 cm),采用经阴道推开膀胱或直肠剔除肌瘤是可行的,符合微创手术的特点;12例中等大宫颈肌瘤(510 cm)采用腹式不剔肌瘤,由健侧进入阴道穹窿切除子宫,能达到出血少,并发症少,保留足够阴道长度的目的;9例巨大宫颈肌瘤(>10 cm)采用先剔除肌瘤后切除子宫法;15例悬垂型肌瘤直接阴道摘除术。结论:宫颈肌瘤手术方式及手术途径因肌瘤大小、类型而不同,按上述方法可有效切除肌瘤及子宫,防止并发症发生。

Surgical treatment for 44 cases of uterine cervical leiomyoma

Objective:Try to find the surgical approach for uterine cervical leiomyoma.Methods:44 cases with uterine cervical leiomyoma were operated in our hospital from January 1995 to December 2004.Hysterectomy and myomectomy trans-vaginal or trans-abdominal were selected according to size of myoma and evaluated the treatment effects.Results:Eight cases of ≤5cm intramural myoma and subserous myoma selected trans-vaginal myomectomy.Twelve cases myoma diameter range between 5~10 cm selected trans-abdominal hysterectomy,the approach from opposite side of leiomyoma entered the vaginal fornix to complete trans-abdominal hysterectomy had little blood loss,fewer complications,preserved long enough vagina.Nine cases≥l0 cm selected myomectomy and then hysterectomy procedure.Fifteen cases of pendent uterine cervical leiomyoma with slim pedicels selected direct trans-vaginal Leiomyoma myomectomy.Conclusion:The surgical approach for uterine cervical leiomyoma should be considered individually according to the size and type of myoma.Selected surgical procedures mentioned above can excision myoma and uterine effectively and prevent complications.