Objective To investigate the clinical value of taking out the myoma from the slitted posterior of vaginal fornix by laparoscopic myomectomy. Methods We analyzed 48 patients with uterus myoma who underwent laparoscopic myomectomy from the vagina between January 2008 and January 2009. Among them,there were 13 cases with multiple myoma and 35 cases with single myoma,which had 28 cases with intramural myoma,5 cases with subserous myoma, and 2 cases with broad ligament myoma. Results 48 cases of uterus myoma were successfully treated from the vagina with laparoscopic myomectomy. The operation time was 98.6 ± 48.3 min. The mean blood loss was 96. 13 ±92.89 ml. The postoperative morbidity was 0. The rate of complications was 4. 1％ (2/48). The time of anal exsufflation was 1.86 ± 0.41 days. The average postoperative hospital stay was 5.03 ± 0. 29 days. Conclusion Taking out the myoma from the slitted posterior of vaginal fornix by laparoscopic myomectomy is an effective and microinvasive method for treating uterus myoma.%目的 探讨腹腔镜下子宫肌瘤挖除后经阴道后弯窿切开取出的临床应用价值.方法 2008年1月至2009年1月对48例子宫肌瘤均行腹腔镜下子宫肌瘤挖除瘤体后经阴道路径取瘤,其中单发肌瘤35例,多发肌瘤13例.单发肌瘤中肌壁间肌瘤28例,浆膜下肌瘤5例,阔韧带肌瘤2例.结果 48例手术均获成功,手术时间(98.6±48.3)min,术中出血量(96.13±92.89)ml,术后病率均为0,并发症发生率4.1%(2/48),术后肛门排气(1.86±0.41)d,术后住院天数(5.03±0.29)d.结论 经阴道腹腔镜下子宫肌壁问肌瘤剔除术是一种有效的手术方法.
展开▼
