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目的探讨经腹子宫肌瘤剥除术治疗子宫肌瘤的临床效果和安全性。方法回顾性分析2012-06-2016-05我院接受经腹子宫肌瘤剥除术治疗的子宫肌瘤患者115例,其年龄25~57岁,平均(39.8±7.6)岁,其中未生育6例,既往有盆腔手术史76例,浆膜下肌瘤26例,肌壁间肌瘤89例。记录并分析手术时间、出血量、住院时间及并发症等临床资料。结果 115例患者手术时间平均(51.7±6.7)min,术中出血平均(109.7±10.4)mL,住院时间平均(7.2±2.3)d。术中及术后无大出血、休克、肠麻痹及腹膜炎并发症,术中未发生器官损伤等并发症,6例患者出现腹壁切口脂肪液化,均经保守治疗后好转。结论对于多发肌瘤、肌瘤较大、既往盆腔手术史且要保留子宫的患者,经腹子宫肌瘤剥除术可为其提供一种安全有效的治疗手段,具有较好的临床应用价值。
Objective To investigate the clinical efficacy and safety of transabdominal myomectomy in the treatment of uterine fibroids. Methods Retrospective analysis of 2012-06-2016-05 115 cases of uterine fibroids hospitalized in our hospital for abdominal hysterectomy, aged 25-57 years, mean (39.8 ± 7.6) years of age, of which no child 6 For example, the history of pelvic surgery in the past 76 cases, 26 cases of subserosal fibroids, myometrial tumors in 89 cases. Record and analyze the clinical data such as operation time, blood loss, hospitalization time and complication. Results The average operation time was 115.7 ± 6.7 min in 115 patients, 109.7 ± 10.4 mL in operation, and 7.2 ± 2.3 d in hospital stay. No intraoperative and postoperative hemorrhage, shock, intestinal paralysis and complications of peritonitis, organ damage occurred during surgery and other complications, 6 patients with abdominal wall incision fat liquefaction, after conservative treatment improved. Conclusion For multiple fibroids, fibroids larger, history of previous pelvic surgery and to retain the uterus patients, abdominal hysterectomy can provide a safe and effective treatment, has a good clinical value.