摘要
目的 探讨腹腔镜下子宫肌瘤切除术的临床价值。 方法 95例子宫肌瘤患者 ,在腹腔镜下行子宫肌瘤切除术 ,观察手术时间、并发症、术中出血量、肠功能恢复时间、症状改善情况、妊娠及复发情况。 结果 95例肿瘤均完整摘除 ,无 1例中转进腹手术 ;术中出血量 80± 15 .6ml;手术时间 72～ 16 .9min ;术后肠道功能恢复时间 15± 6 .4h ;术后住院天 3～ 6d ;无严重术后并发症 ,术后症状缓解率为 4 5 %。随访3个月～ 3年 4个月 ,复发率为 3.75 %。术后有 6例妊娠 ,其中 4例剖宫产结束分娩未发生子宫破裂。 结论 腹腔镜下子宫肌瘤切除术具有创伤小、并发症少、疗效好、对妊娠影响小等优点 。
Objective To explore the clinic value of laparoscopic myomectomy. Methods Medical records of 95 patients underwent laparoscopic myomectomy were analyzed retrospectively. Results No case was changed to abdominal myomectomy.The mean blood loss was 80±15.6ml,the mean operative time was 72±16.9 min.The recovery time of gastrointestinal function was 15±6.4h.The term of hospitalization after operation was 3～6d.No serious complication was found,the remission rate of symptoms was 45%,and the recurrence rate was 3.75%. Conclusion Laparoscopic myomectomy is a safe,effective and potential minimally invasive surgery.
出处
《现代实用医学》
2004年第8期453-454,457,共3页
Modern Practical Medicine
