摘要：目的：探讨腹腔镜巨大子宫肌瘤切除术的可行性及临床价值。方法：以我院2009年1月～2012年12月收治的子宫巨大肌瘤患者45例为治疗组，以2007年1月～2008年12月收治的子宫巨大肌瘤患者41例为对照组。治疗组给予腹腔镜子宫肌瘤剔除术，对照组给予开腹子宫肌瘤剔除术，比较2组的临床疗效及术后并发症发生率。结果：治疗组术后排气时间及住院天数少于开腹组，差异具有统计学意义；治疗组腹壁切口出血的发生率与对照组的差异没有统计学意义，切口感染的发生率低于对照组，差异具有统计学意义。结论：充分评估术中风险，掌握合适的手术指征，把握术中关键，腹腔镜子宫巨大肌瘤剔除术是安全可行的。

    关键词：巨大子宫肌瘤；腹腔镜；子宫肌瘤剔除术

    Clinical Analysis of laparoscopic myomectomy for huge uterine myoma

    Ren Ren

    【Abstract】Objective：To explore the feasibility and clinical value of laparoscopic myomectomy for huge uterine myoma.Methods：45 cases of huge uterine myoma from January 2009 to December 2012 were as the therapeutic group.41 cases of huge uterine myoma from January 2007 to December 2008 were as the control group.The therapeutic group received laparoscopic myomectomy.The control group received abdominal myomectomy.To compare the clinical discharge and hospitalization in the therapeutic group was less than the contral group.Results：The difference was statistically significan.The difference was not statistically significan about the incidence rate of abdominal incision bleeding in 2 groups.The incedence rate of incision infection in the therapeutic group was less than the contral group.The difference was statistically significan.Conclusion：Laparoscopic uterine myomectomy was feasible and safe if we full assessed of the risk of intraoperative ......