目的：探讨腹腔镜下指探法在多发性子宫肌瘤剔除术中的应用价值。方法对本院2009年1月~2012年1月的325例多发子宫肌瘤患者行腹腔镜下指探法的子宫肌瘤剔除术。结果术中腹腔镜下指探前剔除肌瘤1249个,指探法后发现并剔除肌瘤414个,指探后剔除的肌瘤平均直径(1.2 cm)明显小于指探前剔除肌瘤(3.2 cm)(P<0.005),手术平均时间(95.2±28.1)min,血红蛋白浓度降低(1.5±0.7) g/dl,术中没有患者输血。术后住院时间(4.3±0.8)d。所有手术均顺利完成,无中转开腹。在术后6个月的随访中,手术效果满意。结论腹腔镜下指探法剔除多发性子宫肌瘤是一种安全可行的方法,可减少术后肌瘤残留和复发。%Objective To evaluate the efficacy and feasibility of finger probing method in laparoscopic myomectomy for multiple uterine myomas. Methods A total of 325 patients with multiple myomas underwent fingers-assisted laparoscopic myomectomy between January 2009 and January 2012 to remove multiple myomas at our center. Results The total number of myomas enucleated in the initial enucleation was 1249. There were 414 additional myomas enucleated with finger probing method and hysteroscopy. The mean diameter of the additionally enucleated myomas was 1.2 cm, which was significantly smaller than those of the initially enucleated myomas(3.2 cm)(P<0.005). Mean operative time was (95.2±28.1) minutes, The decrease in postoperative hemoglobin concentration was (1.5±0.7) g/dl. During the operations, no patients required blood transfusion. The postoperative hospital stay was (4.3±0.8) days. All procedures were successfully completed without conversion to laparotomy. After 6 months’postoperative follow-up, all patients were satisfied with the results of the procedure. Conclusion Using finger probing method in laparoscopic myomectomy for multiple uterine myomas is a feasible and safe approach in the surgical treatment of multiple myomas with advantage of reducing risk of residual myomas.
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