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目的探讨腹腔镜下进行高难度子宫肌瘤剜除术的可行性、安全性和手术技巧。方法对48例子宫肌瘤直径超过9cm(子宫大小>孕12周)或肌瘤个数超过4个或子宫肌瘤位于子宫肌层深部及子宫后壁、阔韧带内、子宫颈而行子宫肌瘤剜除术患者的临床资料进行回顾分析。结果 48例手术均在腹腔镜下完成,手术过程顺利,无1例发生手术并发症。手术时间平均(113.5±38)min,术中平均出血量(104±43)ml,术后平均住院时间5d。结论高难度子宫肌瘤剜除术可在腹腔镜下完成,关键在于手术者的手术操作技巧。
Objective To investigate the feasibility, safety and operation skills of laparoscopic hysterectomy for uterine fibroids. Methods 48 cases of uterine fibroids more than 9cm diameter (uterine size> 12 weeks pregnant) or more than 4 fibroids or uterine fibroids located in the deep myometrium and the posterior wall of the uterus, broad ligament, cervix and uterine muscle The clinical data of patients with tumor surgery were retrospectively analyzed. Results All 48 cases underwent laparoscopic surgery. The procedure was successful and none of the cases had any surgical complications. The mean operation time was (113.5 ± 38) min, mean intraoperative blood loss was (104 ± 43) ml, average postoperative hospital stay was 5 days. Conclusion Difficulty hysteromyoma surgery can be done in laparoscopic surgery, the key lies in surgical operation skills of the surgeon.