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目的:探讨应用宫腔镜及腹腔镜联合诊治多发性子宫肌瘤的价值及方法。方法:回顾分析对2003-01/2006-01收治的38例多发性子宫肌瘤应用的指征、方法并发症处理进行临床分析。结果:38例患者均合并有2种以上子宫肌瘤,其中23例均有子宫黏膜下肌瘤,有14例子宫肌瘤位于肌壁间,但肌瘤直径>4.5cm而凸向宫腔内。联合手术均在镜下处理,均未发生因联合手术而引起的严重并发症。结论:宫腔镜、腹腔镜联合手术只需一次麻醉,一期手术,解决了以往单纯宫腔镜或腹腔镜不能同时切除的宫腔内、外子宫肌瘤,通过腹腔镜监视宫腔镜手术,可及时发现和处理手术过程中的子宫穿孔,提高了手术安全性。
Objective: To explore the value and method of hysteroscopy and laparoscopy in the diagnosis and treatment of multiple uterine fibroids. Methods: Retrospective analysis of the indications of 38 cases of multiple uterine fibroids admitted from January 2003 to January 2006, the clinical complications were analyzed. Results: All the 38 patients had more than two kinds of uterine fibroids, of which 23 cases had uterine submucous myoma, 14 cases of uterine fibroids located in the muscular wall, but myoma diameter> 4.5cm and convex into the uterine cavity . Joint surgery were under the microscope, did not occur due to serious complications associated with surgery. Conclusion: hysteroscopy, laparoscopic surgery combined with only one anesthesia, a surgery to solve the previous simple hysteroscopy or laparoscopy can not simultaneously remove intrauterine and uterine fibroids, laparoscopic hysteroscopic surgery , Can discover and deal with uterine perforation in the course of surgery in time, have improved the operation safety.