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目的探讨腹腔镜下后壁子宫大肌瘤手术的临床应用价值。 方法 回顾性分析84例腹腔镜下后壁大子宫肌瘤剥除术的手术过程，观察手术时间、出血量、术后恢复情况等。结果 手术平均时间为（70.6±40.8）min，术中平均出血量（80.6±42.5）mL，术后排气时间（24.00±6.58） h ，术后住院时间（3.80±1.23）d，术后腹部伤口均愈合良好，其中4例因术野暴露不清，中转开腹，余均能在镜下手术完成，且无术后并发症。 结论 只要掌握一定的手术技巧，肌瘤大小不是腹腔镜手术绝对禁忌证。
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更新时间：2015-03-25
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4例腹腔镜下子宫后壁大肌瘤剥除术临床分析
Clinical analysis laparoscopic myomectomy for 84 cases with posterior uterine wall fibroids
微创医学 201405期 页码：590-591,600
作者机构：(广西壮族自治区民族医院,南宁市530001)
基金信息：（广西壮族自治区民族医院，南宁市530001）作者简介：阮和云（1979～），女，硕士，主治医师，
- 中文简介
- 英文简介
- 参考文献
ObjectiveTo investigate the surgical technique and the clinical effect of laparoscopic myomectomy in the treatment of the posterior uterine wall intramural myoma. MethodsA retrospective analysis of laparoscopic uterine fibroids divest technique was conducted. The operation time, blood loss and postoperative recovery were observed. ResultsThe mean time of operation was (70.6±40.8) min, the mean amount of bleeding was (80.6±42.5) mL, postoperative exhaust time was (24±6.58) h, the hospitalization time after operation was (3.80±1.23) d, and postoperative abdominal wound healed well. Among them, 4 cases were converted to laparotomy because of poor operative field exposure. No complication occurred. ConclusionUterine fibroids size is not the ultimate determinant of laparoscopic surgery or laparotomy.
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