摘要
目的：探讨子宫肌瘤剔除术在妇科临床中的应用价值。方法：回顾性分析我院自2009年1~12月收治的131例行子宫肌瘤剔除术患者的临床资料,总结手术方法及临床疗效。结果：本组131例子宫肌瘤患者全部实施子宫肌瘤剔除术,手术均顺利完成,成功率为100%;术中发现肌瘤1~97个,平均5.2个;直径大小为0.5~12.0 cm,平均6.8 cm;其中,肌壁间肌瘤73例,黏膜下肌瘤10例,浆膜下肌瘤48例;手术时间31~102 min,平均46.3 min;术中出血量50~400 ml,平均50.2 ml;术后发生切口感染0例,并未见子宫内膜异位症等其他术后并发症发生;术后住院时间为5~7 d,平均5.8 d。对所有患者进行为期6个月的随访,除2例出现复发（B超发现直径0.5 cm和1.0 cm的肌瘤各1个）外,其他患者均恢复良好,月经量均恢复正常,并未影响正常生活工作。结论：子宫肌瘤剔除术治疗子宫肌瘤具有疗效理想、清除干净、术后并发症少、不影响子宫功能等特点,值得临床推广使用。
Objective： To investigate clinical application value of myomectomy in gynecological.Methods： clinical informations of 131 patients who were underwent myomectomy were retrospectively analyzed in our hospital from January 2009 to December 2009.The surgical and clinical efficacy of patients were reviewed.Results： 131 patients were given myomectomy,the operations were completed successfully,the success rate was 100%;the number（1 to 97） of fibroids were found in patients,with an average of 5.2 fibroids;diameter of fibroids were 0.5-12.0 cm,the average of 6.8 cm;73 cases of intramural fibroids,10 cases of submucosal myoma,48 cases of subserosal fibroids;operation time in 31-102 min,the average of 46.3 min;blood loss was 50-400 ml,an average of 50.2 ml.There was no one had postoperative wound infection,endometriosis and other postoperative complications;postoperative hospital stay was 5-7 d,an average of 5.8 d.A follow-up with 6 months to all patients,except 2 patients had a recurrence（two tumors were found which the diameter were 0.5 cm and the other was 1.0 cm by B ultrasonic）,the other patients recovered well with normal menstrual volume,and the normal life and work did not affected.Conclusion： Myomectomy has a effective treatment of uterine fibroids with a good,clear clean,fewer complications,and don＇t affect the uterine function,so it is worthy of application in clinic.
出处
《中国医药导报》
CAS
2011年第16期170-171,共2页
China Medical Herald
