摘要
目的:探讨腹腔镜子宫肌瘤切除术的手术技巧及临床疗效。方法:回顾分析41例患者(观察组)腹腔镜子宫肌瘤切除术术中先缝合子宫肌壁的临床资料,并与常规腹腔镜子宫肌瘤切除术40例对照。结果:81例均顺利完成手术,无中转开腹及手术并发症发生。平均手术时间观察组(73.5±25.7)min,对照组(99.3±26.9)min(P<0.05);术中平均出血量观察组(40.7±21.3)ml,对照组(93.5±34.2)ml(P<0.05)。术后2组病率、肛门排气时间差异无统计学意义(P>0.05)。术后随访6～20个月,平均13个月,影像学检查示局部无肿瘤组织残留或肌瘤复发,无远期并发症发生。结论:先缝合子宫肌壁在腹腔镜子宫肌瘤切除术中具有手术时间短、术中出血少、易于掌握等优点,适于临床应用。
Objective：To investigate the surgical techniques and clinical efficacy of laparoscopic myomectomy. Methods：The clinical data of 41 cases （observation group） underwent laparoseopie myumectomy （myometrium was sutured earlier） and 40 eases （control group） underwent normal laparoscopic myomectomy was retrospectively analyzed. Results：All the operations were successful, without conversion to laparotomy or surgical complications. Mean operating time of observation group was （73.5 ± 25.7 ） ruin, and the control group was （ 99.3 ± 26.9 ） rain （ P 〈 0.05 ）. Mean blood loss in observation group was （40.7 ± 21.3 ） ml, and （ 93.5 ±34.2 ） ml in control group （ P 〈 0.05 ）. For the rate of disease and anal exhaust time, there was no significant difference between the 2 groups （ P 〉 0. 05 ）. Postoperative follow-up was 6-20 months（ mean 13 months） , there were no local residual tumor,recurrence or long-term complications. Conclusions：Earlier suture of mvnmetrium in laparoscopie myomectomy is suitable for clinical application with advantage of short operative time,less blood loss,and easy to master.
出处
《腹腔镜外科杂志》
2009年第9期706-707,共2页
Journal of Laparoscopic Surgery
