腹腔镜下子宫肌瘤剔除术的临床观察
腹腔镜,,腹腔镜；子宫肌瘤；剔除术,1资料与方法,2结果,3讨论,参考文献：
【摘要】目的：探讨腹腔镜下子宫肌瘤剔除术的手术适应证、禁忌证、手术方法，术后并发症及效果。方法：腹腔镜下子宫肌瘤剔除术22例，肌瘤直径15～7cm。结果：共剔除肌瘤25个。多发2例，合并卵巢瘤2例，合并宫外孕3例，单发15例。镜下缝合17例，未缝合5例。手术时间、出血量与肌瘤的大小成正比。结论：带蒂浆膜下肌瘤、单发壁间肌瘤直径小于7cm，于腹腔镜下行子宫肌瘤剔除术效果好。【关键词】 腹腔镜；子宫肌瘤；剔除术
Clinical observation of laparoscopic myomectomy
XU Liling.Maternity and Child Hospital of Jinzhoucity,Jinzhou 121000,China
【Abstract】Objective:To study the indications,contraindications, surgical methods and complications of laparoscopic myomectomy(LM).Methods:A retrospective study was carried out to 22 patients who received laparoscopic myomectomy.Results:A total of 25 UMs were removed from these patients,which included single UM in 15 cases, coexisting ovarian tumors in 2 cases and extrauterine pregnancys in 3 cases. In 17 cases the uterine wall was sutured in under laparoscopy. Operative time and blood loss were in direct proportion to the size of the tumors.Conclusions:This study suggests the feasibility of laparoscopic myomectomy in subserous UMs and intramural UMs whose diameter are less than 7cm. ......
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