CAJ | 학술논문

妊娠合并子宫平滑肌瘤（纤维瘤）的发病率高达4％，最常见的表现为妊娠疼痛，这可能是由于红色变性或扭转。既往多数情况下行经腹子宫肌瘤切除术。本例35岁的妊娠11周患者，突然出现急性下腹部疼痛，妇科超声检查提示合并7 cm浆膜下子宫肌瘤。临床表现出下腹腹膜炎，急诊行诊断性腹腔镜检查。在操作中，发现浆膜下肌瘤蒂扭转。成功进行了腹腔镜下浆膜下子宫肌瘤剔除术。患者术后48 h出院，继续妊娠。说明在妊娠的前3个月可安全利用腹腔镜行子宫肌瘤切除术。既往国外文献报道的患者都行开腹子宫肌瘤切除术。
임신합병자궁평활기류（섬유류）적발병솔고체4％，최상견적표현위임신동통，저가능시유우홍색변성혹뉴전。기왕다수정황하행경복자궁기류절제술。본례35세적임신11주환자，돌연출현급성하복부동통，부과초성검사제시합병7 cm장막하자궁기류。림상표현출하복복막염，급진행진단성복강경검사。재조작중，발현장막하기류체뉴전。성공진행료복강경하장막하자궁기류척제술。환자술후48 h출원，계속임신。설명재임신적전3개월가안전이용복강경행자궁기류절제술。기왕국외문헌보도적환자도행개복자궁기류절제술。
Uterine leiomyomas (fibroids) are seen in up to 4%of pregnancies, and most commonly present with pain in pregnancy , which can be due to red degeneration or torsion .Most cases previously have been managed with open resection .We report the case of a 35 year old woman , presenting with acute lower abdominal pain at 11 wk gestation.Ultrasound demonstrated an 7 cm fibroid only.She clinical features of lower abdominal peritonitis and was scheduled for a acute diagnostic laparoscopy .At operation , a torsed subserosal fibroid was found . She successfully underwent laparoscopic myomectomy The patient was discharged 48 h postoperatively to continue her pregnancy .This case demonstrates the safe application of laparoscopic excisional myomectomy in the first trimester of pregnancy .Previously reported cases in the literature have focused on open resection .