【摘要】 目的探讨腹腔镜下进行复杂子宫肌瘤剜出术的可行性和手术技巧。方法对21例子宫肌瘤直径超过9cm或肌瘤个数超过3个或子宫肌瘤位于子宫肌层深部、阔韧带而行子宫肌瘤剜出术的病例进行回顾性分析。结果所有病例手术均在腹腔镜下完成,手术过程顺利,无1例中转开腹,无1例手术并发症发生。手术时间为(82.7±24.9)min,术中失血量(123±60)mL,术后平均住院时间4.9d。结论复杂子宫肌瘤剜出术可在腹腔镜下完成,关键是必须掌握熟练的手术技巧。更多还原

【Abstract】 Objective To investigate the possibility and technique of complex laparoscopic myomectomy. Methods The data of 21 cases which diameter of myoma >9 cm or the number of myomas more than 3 or myomas situated in deep part of myometrium undergoing laparoscopic myomectomy were retrospectively analyzed. Results Twenty-one cases were all operated successfully by laparoscope. There were no complication in all cases. The average operating time and blood loss was (82.7±24.9) min and (123±60) mL respectively. The average post operative hospital stay was 4.9 d. Conclusion Complex myomectomy can be performed by laparoscope, but skilled operative techniques must be mastered.更多还原