摘要
目的 探讨腹腔镜辅助阴式子宫肌瘤挖除术的临床应用价值。方法 选择2004年1月～2006年2月间在南充市中心医院妇产科就诊的多发性子宫肌瘤患者127例进行腹腔镜辅助阴式子宫肌瘤挖除术。结果手术时间53±23（min）、术中出血量1764-125（mL），挖出肌癫数量平均7。6个（最多者挖个，最少2个）；肛门排气时间17．6±6（h）、术后住院天数4．6±1．4（d）。术后随访2～10个月，所有患者B超未见肌瘤复发。结论 腹腔镜辅助阴式子宫肌瘤挖除术融合了开腹、腹腔镜、阴式子宫肌瘤挖出3种术式的优点，又克服了他们各自的缺点，是一种较为理想的保留子宫的微创手术方式，值得临床推广。
Objective To investigate clinical value of laparoscopy-assisted vaginal hysteromyomectomy. Methods From January 2004 to February 2006,we performed laparoseopy-assisted vaginal hysteromyomectomy on 127 patients with multiple hysteromyoma. Results The operation time was 53 ± 23 min. and the average bleeding amount during the operation was 176 ± 125mL. The average number of tumor resected was 7.6（2 to 22）. The interval from operation to time when the patients started to pass gas was 17.6 ±6h. , and the postoperative length of hospital stay was 4.6 ± 1.4d. on average. The patients were followed up for 2 - 10 months after operation, no recurrence of tumor was found by uhrasonography. Conclusion Laparoscopy-assisted vaginal hysteromyomectomy is an optimal micro - invasive surgery with reservation of the uterus and is worthy to be popularized in gynecologic clinic.
出处
《中国妇幼健康研究》
2006年第5期390-391,共2页
Chinese Journal of Woman and Child Health Research
关键词
腹腔镜
辅助
阴式子宫肌瘤挖除术
微创手术
laparoscopy
assistance
vaginal hysteromyomectomy
micro-invasive operation
