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目的评估腹腔镜下子宫肌瘤剔除术(LM)的临床应用价值。方法 2007年1月至2009年10月荆州市妇幼保健院共在腹腔镜下行子宫肌瘤剜除术患者135例,术中肌壁注射垂体后叶素12单位,子宫收缩变硬后,在子宫肌瘤最突出部位用单极电凝钩纵切口或横切口切开子宫肌层,如果肌瘤较大,可采用肌瘤表面梭形切口,切去部分肌瘤包膜,再用有齿抓钳钳夹固定瘤核边旋转边向上提拉,钝性分离肌瘤假包膜,完整剥除肌瘤。肌瘤剥除后创面电凝止血,0-1薇乔线修复子宫。创面小者采用8字缝合,切口大者采用连续及扣锁缝合法。结果本组患者均成功在腹腔镜下行子宫肌瘤剔除术,术后恢复顺利。结论腹腔镜下子宫肌瘤剔除术(LM)是一种安全,可行,临床效果好的微创术式。
Objective To evaluate the clinical value of laparoscopic myomectomy (LM). Methods From January 2007 to October 2009, 135 cases of laparoscopic myomectomy were performed in Jingzhou Maternal and Child Health Hospital. In the intramuscular injection of 12 units of pituitrin, the uterus contracted and hardened. The most prominent parts of fibroids with monopolar coagulation hook longitudinal incision or transverse incision incision myometrium, if the fibroids larger, fusiform surface can be used incision, cut off part of the myometrial capsule, Pliers clamp fixed tumor nucleus spin side up pulling, blunt dissection fibroids pseudomembranous complete stripping of fibroids. Fibroids after electrosurgical wound hemostasis, 0-1 Weiqiao line repair uterus. Small wounds using 8 characters stitching, incision with a large continuous and buckle lock stitching law. Results The patients were successfully underwent laparoscopic myomectomy, postoperative recovery was successful. Conclusions Laparoscopic myomectomy (LM) is a safe, feasible and minimally invasive surgical method.