【摘要】 目的探讨巨大子宫肌瘤行腹腔镜手术的可行性。方法2005年1月～2007年12月用LigaSure行腹腔镜辅助下阴式子宫切除术(LAVH)142例,其中巨大子宫肌瘤58例,其余的84例作为对照组,比较两组患者手术时间、术中出血量、排气时间、术后住院天数等指标。结果142例患者手术全部在腹腔镜下进行,无中转开腹,其中手术时间差异有显著性(P<0.05)。其他指标差异均无显著性(P>0.05)。结论巨大子宫肌瘤行腹腔镜辅助下阴式子宫切除术是安全可行的,只要不断提高医生的自身技术水平,具备良好的器械,完全可以在腹腔镜下完成。更多还原

【Abstract】 【Objective】To discuss the feasibility of laparoscopic surgery with large uterine myomas.【Method】 To divide 142 patients of LAVH from January 2005 to December 2007 into two groups, 58 patients with large uterine myomas were group one, and the others were group two. And the duration of operations,amount of bleeding, morbidity after surgery,time of bowel movement and hospital days were compared between the two groups.【Result】 LAVH of large uterine myomas need more time than the others (P <0.05). And there were no significant differences in the other indexes between the two groups (P >0.05).【Conclusion】Laparoscopic surgery is secure and feasible to large uterine myomas provided that masterly techniques and favorable apparatus to be offered.更多还原