论文部分内容阅读
目的探讨腹腔镜下进行复杂子宫肌瘤剔除术的方法、可行性和手术技巧。方法对114例复杂子宫肌瘤患者行腹腔镜子宫肌瘤剔除术,观察手术时间、术中出血量及术后恢复情况。结果 114例中110例完全在腹腔镜下完成手术,3例行手助腹腔镜肌瘤剔除术,1例中转开腹。腹腔镜或手助腹腔镜完成的113例手术过程顺利,无术中并发症发生,平均手术时间为(108.32±52.47)min,平均术中出血量(102.12±65.17)ml。术后平均住院时间6 d,术后随访3个月复查B超示子宫体积接近正常大小,未发现肌瘤样病灶。结论复杂子宫肌瘤剔除术可在腹腔镜下完成,熟练的手术技巧是手术成功的关键。
Objective To explore the method, feasibility and operation skills of laparoscopic complex myomectomy. Methods 114 patients with complicated uterine fibroids underwent laparoscopic myomectomy, observation of operative time, intraoperative blood loss and postoperative recovery. Results Of the 114 cases, 110 cases underwent complete laparoscopic surgery, 3 cases underwent hand-assisted laparoscopic myomectomy, and 1 case underwent laparotomy. Laparoscopic or hand-assisted laparoscopic operation of 113 cases completed smoothly, no intraoperative complications occurred, the average operation time was (108.32 ± 52.47) min, the average blood loss (102.12 ± 65.17) ml. The average postoperative hospital stay was 6 days. The follow-up of 3 months showed that the size of the uterus was close to the normal size and no myoma-like lesions were found. Conclusions Complex uterine myomectomy can be performed under laparoscopy. Skilled surgical techniques are the key to successful operation.