腹腔镜宫颈肌瘤切除术的临床分析

目的:探讨腹腔镜宫颈肌瘤切除术的手术效果、适应证及技巧。方法:回顾分析腹腔镜宫颈肌瘤切除术36例患者的临床资料。结果:36例患者均在腹腔镜下顺利完成宫颈肌瘤切除术。肌瘤直径3~10 cm,平均5.7 cm。平均手术时间(86.8±46.75)m in,术中平均出血(66.6±35.5)m l。直径≥5 cm的肌瘤比<5 cm者平均手术时间及术中出血均明显增加(P<0.01)。术后随访症状均有改善。结论:腹腔镜宫颈肌瘤切除术安全可行,合理选择适应证及高超的手术技巧是手术成功的关键。

Analysis of laparoscopic myomectomy of cervical leiomyoma

Objective:To investigate the operative effect,indications and surgical technique of laparoscopic myomectomy in women with cervical leiomyoma.Methods:A retrospective review was carried out on 36 patients with cervical leiomyoma who underwent laparoscopic myomectomy.Results:All cases were performed with myomectomy under laparoscopy.The size of dominant uterine myomas ranged from 3-10cm(means 5.7cm).Mean operation time was(86.8±46.75)min and mean blood loss was(66.6±35.5)ml.Longer operation time and more blood loss were observed in patients with uterine myomas≥5cm than those with uterine myomas<5cm(P<0.01).All patients with symptoms showed remission of their complaints after operating.Conclusions:Laparoscopic myomectomy for cervical leiomyoma is safe and feasible.Selecting the indication and expert operating skills are the key to operation success.