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目的探讨腹腔镜下子宫肌瘤剔除术的临床效果及手术操作技术。方法分析腹腔镜下子宫肌瘤剔除术148例患者的临床资料,明确临床应用价值,总结手术操作技巧。结果148例患者均在腹腔镜下完成手术,无术中、术后并发症发生。手术时间(98±42)min;术中出血量(83±35)ml;术后肛门排气时间(24±5)h;术后住院天数(7.8±1.5)d。结论腹腔镜下子宫肌瘤剔除术是一种安全有效的保留器官的手术方法,具有微创手术的一切优点,是一种值得推广应用的微创术式,术前严格的病例选择及术中良好的手术操作技巧是手术成功的关键。
Objective To investigate the clinical effect and operative technique of laparoscopic myomectomy. Methods The clinical data of 148 patients undergoing laparoscopic myomectomy were analyzed, the clinical value was clarified, and the surgical operation skills were summarized. Results 148 patients underwent laparoscopic surgery, no intraoperative and postoperative complications occurred. The operative time (98 ± 42) min, intraoperative blood loss (83 ± 35) ml, postoperative anal exhaust time (24 ± 5) h and postoperative hospital stay (7.8 ± 1.5) days. Conclusions Laparoscopic myomectomy is a safe and effective method of organ preservation. It has all the advantages of minimally invasive surgery. It is a minimally invasive technique worthy of promotion and application. The strict preoperative selection and operation Good surgical skills is the key to successful operation.