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目的观察腹腔镜手术治疗阔韧带子宫肌瘤的临床疗效。方法 35例行腹腔镜下阔韧带子宫肌瘤剔除术患者。其中子宫肌瘤直径3~12 cm,平均直径7.2 cm。所有患者均采用全身麻醉,已婚者术前放置举宫器,术中用垂体后叶素减少出血量,术后盆腔内放置引流管。结果 35例均成功在腹腔镜下完成手术,无术中并发症发生。手术时间45~135 min,平均时间70.5 min。出血量50~220 ml,平均出血量90 ml。肛门排气时间8~30 h,平均排气时间16.5 h。术后住院时间3~6 d,平均住院时间4 d。结论阔韧带子宫肌瘤行腹腔镜下剔除术安全可行,但应掌握腹腔镜下各种手术技巧,这是手术成功的关键。
Objective To observe the clinical effect of laparoscopic surgery for broad ligament myoma of uterus. Methods 35 cases underwent laparoscopic hysterectomy in patients with myomectomy. Uterine fibroids which diameter 3 ~ 12 cm, the average diameter of 7.2 cm. All patients were treated with general anesthesia, married who placed uterine apparatus, intraoperative pituitrin to reduce the amount of bleeding, postoperative pelvic drainage tube placement. Results All 35 cases were successfully performed laparoscopic surgery without any complications. The operation time was 45 to 135 minutes with an average time of 70.5 minutes. Bleeding volume 50 ~ 220 ml, the average amount of bleeding 90 ml. Anal exhaust time 8 ~ 30 h, the average exhaust time of 16.5 h. Postoperative hospital stay 3 ~ 6 d, the average hospital stay 4 d. Conclusions Broad ligament hysteromyoma is safe and feasible for laparoscopic resection. However, laparoscopic surgical techniques should be mastered, which is the key to successful operation.