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1995年1月至1996年8月对16例子宫肌瘤患者进行腹腔镜手术,其中肌瘤剔除(LHM)9例,子宫次全切除(LISH)4例、子宫全切(LAVH)3例。除2例子宫切除因瘤体较大或创面渗血而中转开腹手术外,其余病例均顺利完成手术、未发生术中大出血及邻近脏器损伤,术手恢复快。住院时间短。并对子宫肌瘤的腹腔镜手术的适应证及方法选择、手术技巧、术中并发症的防范等进行了讨论,认为只要掌握好手术适应证及具有熟练的腹腔镜手术技能,子宫肌瘤以腹腔镜进行手术的治疗效果明显优于开腹手术。
From January 1995 to August 1996, laparoscopic surgery was performed on 16 patients with uterine fibroids, including 9 cases of myomectomy (LHM), 4 cases of subtotal hysterectomy (LISH), and 3 cases of total hysterectomy (LAVH). Except for 2 cases of hysterectomy with a large tumor or bleeding from the wound, they were converted to laparotomy. The rest of the cases were successfully performed without major intraoperative hemorrhage and adjacent organ damage, and the surgical hand recovered quickly. Short stay in hospital. The indications and methods of laparoscopic surgery for uterine fibroids, surgical techniques, and prevention of intraoperative complications were discussed. It is believed that as long as they have good surgical indications and skilled laparoscopic surgery, uterine fibroids The therapeutic effect of laparoscopic surgery is significantly better than that of laparotomy.