腹腔镜下子宫肌瘤剥除术60例临床分析

目的 探讨子宫肌瘤类型、大小及数目对腹腔镜下子宫肌瘤剥除术手术时间和术中出血量的影响.方法 回顾性分析腹腔镜下行子宫肌瘤剥除术60例患者的临床资料.结果 手术均获成功,手术时间30～240 min,平均(111.84±31.13)min;术中出血量30～600 ml,平均(88.28±81.01)ml;肌壁间及浆膜下肌瘤的手术时间、术中出血量均随肌瘤增大而延长或增加.术后无不良反应.术后病理检查均为子宫平滑肌瘤,所有病例术后1、3个月复诊,子宫恢复正常大小,月经正常.结论 腹腔镜下子宫肌瘤剥除术是理想的、安全有效的子宫肌瘤保守治疗方法.

Clinical analysis of laparoscopic removal of uterine myoma in 60 cases

Objective to analyze the effect of uterine myoma classification,size and number on the timeand amount of blood loss of laparoscopic myomectomy surgery.Methods Clinical data of 60 eases of laparoscopic removal of myoma were retrospectively analyzed.Results Operation was successful.with the operation time of 30～240 min(111.84±31.13)and bleeding volume of 30～600 ml(88.28±81.01).There was no adverse reaction.Postoperative pathologic examination demonstrated uterine fibroids in all patients.All cases were referred to rediagno-sis al 1 and 3 month after operation.The examination focused on the uterus size and menstruation.Conclusion Lap-aroscopic removal of myoma is a safe and effective conservative treatment of uterine myoma.