目的 探讨对较大子宫肌间肌瘤在腹腔镜下用“T”字形切口切开宫壁剔出瘤体的应用效果。方法 对91例较大子宫肌瘤(直径>8 cm)患者,均采用腹腔镜下用“T”形切口切开宫壁剔出瘤体。结果 全部手术顺利完成,无一例中转开腹,无术后大出血者,术中出血量平均为100 mL,手术时间平均为40 min。结论 较大子宫肌瘤于腹腔镜下用“T”形切口切开宫壁剔出瘤体是安全有效的,是快速剔出肌瘤的新型手术技巧,值得临床推广。
Objective To explore the effect of laparoscopic removal of large intramural hysteromyoma using “T”shaped incision. Methods 91 cases of large uterine fibroids (diameter >8cm) were treated with aparoscopic removal of large intramural hysteromyoma using “T”shaped incision. Results All operations were completed successfully, with no case converted to laparotomy, without postoperative hemorrhage. The mean bleeding volume in the operation were 100ml, the mean operation time were 40 minutes. Conclusion As a new technique of rapid removal of fibroids, Laparoscopic removal of large intramural hysteromyoma using “T”shaped incision is safe and effective, worth the clinical promotion.