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目的 :探讨腹腔镜下子宫肌瘤剥除的手术要点及临床应用价值。方法 :1998年 5月～ 2 0 0 0年 1月对 2 0例子宫肌瘤患者在腹腔镜下行肌瘤剥除术。肌瘤大小 4～ 7cm ,其中 5例为 2个肌瘤 ,1例合并双侧输卵管伞闭锁 ,2例合并卵巢囊肿。结果 :2 0例患者手术全部成功 ,无手术并发症 ,平均手术时间 72 .73min ,出血量≤10 0ml,术后平均住院 4.73d ,随访 1～ 3年 ,无不适主诉 ,暂未见复发。结论 ;腹腔镜下子宫肌瘤剥除术是一种安全有效的手术方法 ,优点是损伤小、出血少、恢复快 ,可避免开腹手术的痛苦。
Objective: To investigate the surgical points and clinical value of laparoscopic uterine fibroids stripping. Methods: From May 1998 to January 2000, 20 patients with uterine fibroids underwent laparoscopic myomectomy. Fibroids size 4 ~ 7cm, of which 5 cases were 2 fibroids, 1 case with bilateral tubal umbrella block, 2 cases with ovarian cyst. Results: Twenty patients were successfully operated without any complications. The average operation time was 72.73 minutes, the bleeding amount was less than or equal to 100ml. The average postoperative hospital stay was 4.73 days. No follow-up was found during the follow-up of 1-3 years. No recurrence was found yet. Conclusions Laparoscopic myomectomy is a safe and effective surgical method, which has the advantages of less injury, less bleeding and quick recovery, which can avoid the pain of open surgery.