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目的探讨腹腔镜下子宫肌瘤剔除术的手术要点及临床应用价值。方法对96例子宫肌瘤患者行腔镜下子宫肌瘤剔除术病例进行回顾性分析。结果 96例均在腹腔镜下完成,术中见单发肌瘤55例,多发性肌瘤41例,肌瘤数目最多5枚,肌瘤直径最大9cm。手术时间55～170min,平均81min。术中出血60～330ml,平均105ml。术后91例患者最高体温≤37.9℃,术后体温2次超过38℃有5例,2～3d后恢复正常,术后肛门排气时间6～25h,平均15h。术后住院时间3～6d,平均4.5d。结论腹腔镜下子宫肌瘤剔除术是一种安全、可靠的手术方式,对年轻、要求保留子宫的患者是一种较为理想的微创手术治疗方法之一。
Objective To investigate the surgical points and clinical value of laparoscopic myomectomy. Methods 96 cases of uterine fibroids underwent endoscopic myomectomy cases were retrospectively analyzed. Results 96 cases were completed in laparoscopic surgery, see 55 cases of single myoma, 41 cases of multiple myoma, fibroids up to 5, myoma diameter of 9cm. Operation time 55 ~ 170min, an average of 81min. Intraoperative bleeding 60 ~ 330ml, an average of 105ml. After operation, the maximum temperature of 91 patients was ≤37.9 ℃, the temperature of the second postoperatively exceeded 38 ℃ in 5 patients, returned to normal after 2 ~ 3d, and the time of anal exhaust was 6 ~ 25h with an average of 15h. Postoperative hospital stay 3 ~ 6d, an average of 4.5d. Conclusions Laparoscopic myomectomy is a safe and reliable method of operation. It is one of the most ideal minimally invasive surgical treatments for young patients who require retention of the uterus.