子宫肌瘤108例手术治疗临床分析

目的：讨论子宫肌瘤的诊断、术式选择及并发症的防治。方法：对本院2008年1月-2012年1月手术治疗的子宫肌瘤108例临床资料进行回顾性分析。结果：108例患者中无临床症状者16例,占14.8%,92例有临床症状,占85.2%,全部病例均经手术治疗治愈。残端出血、尿路感染、腹部切口愈合不良及下肢深静脉血栓是其主要并发症。结论：部分宫肌瘤患者早期无症状,定期体检是早期诊断的主要方法。手术方式应依据患者的年龄、有无生育要求来决定。术后加强观察、随访是预防其并发症的有效手段。

Clinical Analysis of Operative Treatment of 108 Cases of Hysteromyoma

Objective： To discuss the diagnosis of hysteromyoma, and selection of operation and complications. Method： The clinical data of patients with hysteromyoma treated by operation from 2008 January to 2012 January were retrospectively analyzed. Result： In 108 patients, 16 patients without clinical symptoms, accounted for 14.8%, 92 cases had clinical symptoms, accounted for 85.2%, all the cases were cured by operation treatment. Stump hemorrhage, urinary tract infection, abdominal incision healing and deep venous thrombosis of lower limb was the main complication. Conclusion： Some early uterine myoma patients are asymptomatic, regular physical examination is the main method of early diagnosis. The selection of operation mode should be based on the patient＇s age, fertility requirements. After operation, follow-up observation is an effective means to prevent its complications.