【摘要】 目的观察腹腔镜子宫肌瘤剔除术对子宫肌瘤的治疗效果。方法 2008年8月～2009年8月,对48例子宫肌瘤要求保留子宫的患者采用腹腔镜下子宫肌瘤剔除术,其中18例配合使用腹腔镜下子宫动脉阻断术治疗。结果所有病例腹腔镜手术均成功,无手术并发症及术后并发症。平均手术时间为(105.6±27.6)min,平均手术失血量为(87.52±18.35)mL。结论根据不同的病例特点和要求,采用腹腔镜子宫肌瘤剔除术及子宫动脉阻断术治疗子宫肌瘤可取得满意临床效果。腹腔镜子宫肌瘤剔除术联合子宫动脉阻断术明显减少术中出血量、缩短手术时间,降低术后复发率,其术野清晰,创面电凝少,明显减少了组织坏死,术后并发症少。更多还原

【Abstract】 【Objective】To investigate the therapeutic efficacy of laparoscopic uterine arterial blocking combined with myomectomy in treating uterine myoma.【Methods】From August 2008 to August 2009,forty-eight women with uterine myoma wanting to retain their uteri underwent laparoscopic myomectomy.Among them,18 women received laparoscopic uterine arterial blocking before uterine myomectomy while the others received laparoscopic myomectomy only.【Results】All of the 48 cases with uterine myoma underwent laparoscopic myomectomy successfully.There were no intraoperative and postoperative complications occurred.Average operating time was(105.6±27.6) min,and average intraoperative blood loss was(87.52±18.35) mL.【Conclusions】The laparoscopic uterine arterial blocking combined with myomectomy is a safe and effective method for treating uterine myoma.Adopting this method can obtain pleased therapeutic effect.The method can reduce blood loss thus make the surgical field clean and clear,it can reduce time of operation and recurrence rate.It can also reduce electro-coagulation on the surgical surface and therefore cause less tissue necrosis and lower incidence of complications.更多还原