CAJ | 학술논문

　　子宫肌瘤是女性生殖器官最常见的良性肿瘤，常见于30～50岁女性，近年来随着微创手术技术的发展，腹腔镜下子宫肌瘤剔除术成为治疗子宫肌瘤并保留子宫手术的一种常用术式。其创伤小、术中视野清晰、安全性高和术后康复快等优点已得到普遍认可，但对其手术适应证及术后并发症的防治尚存在争议。近年来国内外的文献报道认为腹腔镜下子宫肌瘤剔除术手术方式选择除了与肌瘤的个数、大小、位置等因素相关外，还与术者操作熟练程度、患者的婚育情况、个人意愿等因素有关，针对其术后可能出现的出血、感染、肌瘤复发、再妊娠子宫破裂等并发症提出了相应的防治措施。
　　자궁기류시녀성생식기관최상견적량성종류，상견우30～50세녀성，근년래수착미창수술기술적발전，복강경하자궁기류척제술성위치료자궁기류병보류자궁수술적일충상용술식。기창상소、술중시야청석、안전성고화술후강복쾌등우점이득도보편인가，단대기수술괄응증급술후병발증적방치상존재쟁의。근년래국내외적문헌보도인위복강경하자궁기류척제술수술방식선택제료여기류적개수、대소、위치등인소상관외，환여술자조작숙련정도、환자적혼육정황、개인의원등인소유관，침대기술후가능출현적출혈、감염、기류복발、재임신자궁파렬등병발증제출료상응적방치조시。
Uterine fibroids are the most common benign tumors of the genital tracts in women aged 30 to 50 years. In recent years,laparoscopic myomectomy is widely used with the development of minimally invasive surgical techniques. Laparoscopic myomectomy has been widely recognized as the merits of small wound,clear operative horizion,safe and early recovery,etc. There are still controversies about surgery indications and the prevention of postoperative complications. We reviewed papers pbulished in recent years. It depends on not only the fibroids' number,size,location,but also the surgeon′s operating proficiency,the patient's marriage and wishes,whether laparoscopic myomectomy is preferred. Complications of laparoscopic myomectomy include bleeding,infection,fibroids recurrence,regnancy uterine rupture,etc. In this article,we also raised up some prevention measures.