腹腔镜辅助子宫肌瘤切除术28例临床分析

目的：评价腹腔镜辅助子宫肌瘤切除术的效果。方法：回顾分析28例腹腔镜辅助子宫肌瘤切除术的临床资料。结果：28例手术均获成功，其中肌壁间肌瘤18例，浆膜下肌瘤（无蒂）6例，阔韧带肌瘤3例，峡部肌瘤1例，肌瘤直径0．5—15era，平均6．5cm。手术时间40—150min，平均60min，术中出血30—200ml，平均60ml，术后住院4—8d，平均5d。随访2—36个月，平均9个月，无复发。6例不孕症患者中2例妊娠。结论：腹腔镜辅助子宫肌瘤切除术兼具传统与微创手术的优点，安全可行。

Clinical analysis of laparoscopic-assisted myomectomy: a report of 28 cases

Objective:To evaluate the effects of laparoscopic-assisted myomectomy.Methods:Clinical data of 28 cases who underwent laparoscopic-assisted myomectomy were analyzed restrospectively.Results:All the operations were performed successfully.Among them,intramural myoma was confirmed in 18 cases,subserous myoma(non-pedicled) in 6 cases,broad ligament myoma in 3 cases,and isthmus uteri myoma in 1 case.The diameter of myoma was 0.5-15cm(mean 6.5cm),the operative time was 40-150min(mean 60min),the intraoperative blood loss 20-200ml(mean 60ml),and the postoperative hospitalization was 4-8d(mean 5d).With a follow-up of 2-36 months(mean 9 months),no recurrence was found,and 2 out of 6 patients with barrenness were cured.Conclusions:Laparoscopic-assisted myomectomy has the advantages of traditional and minimal invasive surgery,which is safe and effective.