摘要
Abstract
Objective: To explore the value and operative technique of complicated laparoscopic myomectomy. Methods: Eighty-two patients underwent complicated laparoscopic myomectomy from Jan. 2006 to Nov. 2010 were retrospectively analyzed. All 82 cases in the research group ( RG) were fat, with abdominal adhesion, suffered from hysteromyoma at broad ligament, inferior part of anterior uterine wall urinary bladder peritoneum reflexion, posterior uterine wall near cervix or tumor diameter more than 10 cm. 80 patients who treated by open myomectomy during the same period were selected as the control group ( CG). The operative time,blood loss in the operation, operation complication,anus exhaust time,fever and postoperative recovery were compared between 2 groups. Results: As for the diameter of myoma ≥10 cm, the operative time of the RG was longer than that of the CG ( P < 0. 05 ) while the operating time of obesity patients in the RG was shorter than that in the CG. The blood loss of patients with myoma diameter < 10 cm,obesity and adhesion was less than the CG (P <0.05) ,however,patients with myoma diameter> 10 cm was more than the CG ( P <0. 05). The other index of two groups were not significantly different(P > 0. 05). Conclusions-. On the basis of familiar anatomy, careful work and skilled technique , laparoscopy is safe in treatment of complex hysteromyoma.关键词
子宫肌瘤切除术/腹腔镜检查/病例报告Key words
Myomectomy/ Laparoscopy/ Case reports分类
医药卫生
