中国实用医药
中國實用醫藥
중국실용의약
CHINA PRACTICAL MEDICAL
2013年
35期
8-9,10
,共3页
腹腔镜子宫肌瘤剔除术%指探法%多发肌瘤
腹腔鏡子宮肌瘤剔除術%指探法%多髮肌瘤
복강경자궁기류척제술%지탐법%다발기류
Laparoscopic myomectomy under the laparoscope%Finger probing method%Multiple myomas
目的：探讨腹腔镜下指探法在多发性子宫肌瘤剔除术中的应用价值。方法对本院2009年1月~2012年1月的325例多发子宫肌瘤患者行腹腔镜下指探法的子宫肌瘤剔除术。结果术中腹腔镜下指探前剔除肌瘤1249个,指探法后发现并剔除肌瘤414个,指探后剔除的肌瘤平均直径(1.2 cm)明显小于指探前剔除肌瘤(3.2 cm)(P<0.005),手术平均时间(95.2±28.1)min,血红蛋白浓度降低(1.5±0.7) g/dl,术中没有患者输血。术后住院时间(4.3±0.8)d。所有手术均顺利完成,无中转开腹。在术后6个月的随访中,手术效果满意。结论腹腔镜下指探法剔除多发性子宫肌瘤是一种安全可行的方法,可减少术后肌瘤残留和复发。
目的：探討腹腔鏡下指探法在多髮性子宮肌瘤剔除術中的應用價值。方法對本院2009年1月~2012年1月的325例多髮子宮肌瘤患者行腹腔鏡下指探法的子宮肌瘤剔除術。結果術中腹腔鏡下指探前剔除肌瘤1249箇,指探法後髮現併剔除肌瘤414箇,指探後剔除的肌瘤平均直徑(1.2 cm)明顯小于指探前剔除肌瘤(3.2 cm)(P<0.005),手術平均時間(95.2±28.1)min,血紅蛋白濃度降低(1.5±0.7) g/dl,術中沒有患者輸血。術後住院時間(4.3±0.8)d。所有手術均順利完成,無中轉開腹。在術後6箇月的隨訪中,手術效果滿意。結論腹腔鏡下指探法剔除多髮性子宮肌瘤是一種安全可行的方法,可減少術後肌瘤殘留和複髮。
목적：탐토복강경하지탐법재다발성자궁기류척제술중적응용개치。방법대본원2009년1월~2012년1월적325례다발자궁기류환자행복강경하지탐법적자궁기류척제술。결과술중복강경하지탐전척제기류1249개,지탐법후발현병척제기류414개,지탐후척제적기류평균직경(1.2 cm)명현소우지탐전척제기류(3.2 cm)(P<0.005),수술평균시간(95.2±28.1)min,혈홍단백농도강저(1.5±0.7) g/dl,술중몰유환자수혈。술후주원시간(4.3±0.8)d。소유수술균순리완성,무중전개복。재술후6개월적수방중,수술효과만의。결론복강경하지탐법척제다발성자궁기류시일충안전가행적방법,가감소술후기류잔류화복발。
Objective To evaluate the efficacy and feasibility of finger probing method in laparoscopic myomectomy for multiple uterine myomas. Methods A total of 325 patients with multiple myomas underwent fingers-assisted laparoscopic myomectomy between January 2009 and January 2012 to remove multiple myomas at our center. Results The total number of myomas enucleated in the initial enucleation was 1249. There were 414 additional myomas enucleated with finger probing method and hysteroscopy. The mean diameter of the additionally enucleated myomas was 1.2 cm, which was significantly smaller than those of the initially enucleated myomas(3.2 cm)(P<0.005). Mean operative time was (95.2±28.1) minutes, The decrease in postoperative hemoglobin concentration was (1.5±0.7) g/dl. During the operations, no patients required blood transfusion. The postoperative hospital stay was (4.3±0.8) days. All procedures were successfully completed without conversion to laparotomy. After 6 months’postoperative follow-up, all patients were satisfied with the results of the procedure. Conclusion Using finger probing method in laparoscopic myomectomy for multiple uterine myomas is a feasible and safe approach in the surgical treatment of multiple myomas with advantage of reducing risk of residual myomas.
