改良腹腔镜子宫肌瘤剔除45例分析

    Modified laparoscopic hysteromyomectomy: report of 45 cases

    • 摘要: 目的:探讨腹腔镜子宫肌瘤切除术(laparoscopic myomectomy,LM)的临床效果及手术技巧。方法:对45例子宫肌瘤患者行改良LM。使用连续深肌层和浅肌层间隔连续缝合肌瘤体,结合手助剔除瘤体,大肌瘤大部分剔除后先旋切取出部分瘤体。结果:45例LM均获成功,无一例中转开腹。术中出血量20~180ml,手术时间50~140min。术后无并发症发生。结论:改良LM是一种微创、安全、有效的手术方法,合理选择适应证熟练掌握镜下缝合技术是保证手术成功的关键。

       

      Abstract: Objective: To explore the clinical effect and surgical technique of modified laparoscopic hysteromyomectomy(LM).Methods: Forty-five cases of hysteromyoma were treated using modified LM.The myoma matrix was sutured continuously with deep muscular layer and shallow muscular layer at intervals;the big myoma was resected at first,and then part of the tumor body was removed by potary cutting.Results: The LM was successful in all the 45 cases,and no case was converted to open surgery.Intraoperative blood loss was 20-180 ml,and the operation time was 50-140 min.No complications occurred.Conclusions: Modified LM is safe and effective for treatment of hysteromyoma with minimal invasion.Proper indication and suture technique are essential.

       

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