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目的探讨腹腔镜下行子宫肌瘤剔除术的手术方法、适应证、禁忌证、术后并发症及临床效果。方法对2006年4月至2009年3月86例要求保留子宫的患者实施了腹腔镜下子宫肌瘤剔除术进行了回顾性分析。结果86例腹腔镜子宫肌瘤剔除术均顺利完成,无中转开腹及手术并发症发生,手术时间、出血量与肌瘤的大小成正比,术后住院5～7 d,平均6 d,术后随访均无复发。结论腹腔镜子宫肌瘤剔除术具有患者创伤小、术后康复快、并发症少等优点,是安全有效且保留子宫的手术方法。
Objective To investigate the surgical methods, indications, contraindications, postoperative complications and clinical effects of laparoscopic myomectomy. Methods A retrospective analysis of 86 cases of uterine myomectomy from April 2006 to March 2009 was performed. Results 86 cases of laparoscopic myomectomy were successfully completed without conversion to laparotomy and complications of surgery. The operation time and the amount of bleeding were directly proportional to the size of fibroids. The patients were hospitalized for 5-7 days with an average of 6 days No recurrence after follow-up. Conclusions Laparoscopic myomectomy has the advantages of less trauma, faster recovery and fewer complications. It is a safe and effective surgical method to retain the uterus.