腹腔镜治疗子宫肌瘤67例临床分析

目的：探讨腹腔镜子宫肌瘤剔除术的临床效果及应用价值。方法：回顾分析经腹腔镜行子宫肌瘤剔除术67例患者的临床资料。结果：67例子宫肌瘤患者中，单发肌瘤47例（含壁间肌瘤32例、阔韧带肌瘤7例、浆膜下肌瘤8例），多发肌瘤20例，全部在腹腔镜下完成手术，手术时间（92．3±32．6）min，术中出血（58．7±39．2）ml，术后住院时间为（8．7±1）d，无中转开腹和严重并发症发生。术后随访，19例在1-2a内怀孕，无腹壁粘连及子宫破裂后遗症。结论：腹腔镜子宫肌瘤剔除术安全、可靠，创伤小，恢复快，并发症发生率低，能维持正常生育功能。

Laparoscopic treatment of clinical analysis of 67 cases of uterine fibroids

Objective： To evaluate the laparoscopic myomectomy clinical results and value. Methods： A retrospective analysis after laparoscopic myomectomy 67 patients with clinical data. Results： 67 patients with uterine fibroids, a single myoma （47 cases with intramural fibroids in 32 cases, seven cases of broad ligament fibroids, subserosal fibroids 8 cases）, multiple fibroids in 20 cases, all in the abdominal cavity complete endoscopic surgery, operative time （92.3± 32.6） min, blood loss （58.7 ± 39.2） ml, postoperative hospital stay （8.7 ± 1） d, no conversion to open surgery and serious complications. Postoperative follow-up, 19 cases in the 1-2a in pregnancy, no uterine rupture abdominal adhesions and sequelae. Conclusion： Laparoscopic myomectomy is safe, reliable, less invasive, quick recovery, low complication rate, to maintain normal reproductive function.