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腹腔镜在子宫肌瘤切除术中的应用

Application of Laparoscopy in Myomectomy
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摘要 目的 :探讨腹腔镜子宫肌瘤切除的手术方式、适应症和疗效。方法 :应用腹腔镜行子宫肌瘤切除术 5 2例。结果 :术中共发现肌瘤 6 7个 ,肌瘤直径 3~ 10 cm,平均手术时间及术中出血量分别为 93.7min和 79.8ml,术后平均住院时间 6 .2 d,肌瘤直径≥ 6 cm者比肌瘤 <6 cm者出血量明显增加 (P<0 .0 5 ) ,但手术时间无明显区别 (P>0 .0 5 ) ,术后无 1例并发症发生。结论 :腹腔镜下肌瘤切除术 ,创伤小 ,恢复快 ,术后患者月经正常 ,不影响妊娠。 Objective:To explore the operative way,indications and clinical effect of laparoscopic myomectomy.Methods:52 cases with uterine myoma were operated by laparoscopic myomectomy.Results:A total of 67uterine myomas were found in these 52 patients during operation.The diameter of uterine myomas was between 3~10 cm,the average operation time was 93.7 minutes,blood loss during operation was 79.8 ml in mean. Postoperative hospital stay 6.2 days. The blood loss of patients with uterine myoma≥6.0 cm was significantly larger than that of those with uterine myoma <6.0 cm (P<0.05),there was no complication in postoperative patients.Conclusions:Laparoscopic myomectomy is effective,the surface of wound is small,the patients recover rapidly, the patients menstrual cycle is normal.laparoscopic myomectomy has not the influence on the pregnancy of the patients.
出处 《中国误诊学杂志》 CAS 2004年第4期505-507,共3页 Chinese Journal of Misdiagnostics
关键词 腹腔镜检查 子宫肿瘤/外科学 平滑肌瘤/外科学 Laparoscopy Uterine neoplasms/surgery Leiomyoma/surgery
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