摘要
目的：探讨腹腔镜下巨大子宫肌瘤剔除的可行性、安全性和手术技巧。方法对46例巨大子宫肌瘤（肌瘤最大直径≥8cm，子宫体积＞12孕周）患者行腹腔镜子宫肌瘤剔除术，观察手术并发症、手术时间、术中出血量及术后恢复情况。结果46例患者均在腹腔镜下完成手术，均无术后并发症发生，手术时间平均78mim，术中出血量平均86ml，平均住院时间3．5天。结论经腹腔镜巨大子宫肌瘤剔除术是安全可行的，但要求术者应具有丰富的腹腔镜手术经验及娴熟的镜下缝合技术。
Abstract
Objective To explore the feasibility of laparoscopic uterine myomectomy,great safety and operation skills.Method 46 patients with giant uterus myoma underwent laparoscopic myomectomy(The maximum tumor diameter ≥ 8 cm,uterine volume >12 weeks of gestation),observe the operation complications,operation time,intraoperative blood loss and postoperative recovery.Results All 46 patients completed the operation under laparoscopy,had no postoperative complications,the av-erage operation time was 78min,the average amount of bleeding was 86ml,the average hospital stay was 3.5 days.Conclusion Laparoscopic huge myomectomy is safe and feasible,but requires patients with laparoscopic operation experience and skill abundant endoscopic suturing technique.
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