国际生殖健康/计划生育杂志

国际生殖健康/计划生育 ›› 2013, Vol. 32 ›› Issue (4): 317-318.

• 综述 • 上一篇    

腹腔镜下子宫肌瘤剔除术的认识及评价


胡友斌， 韩汶君， 赵 旻   

  1. 430000 武汉大学基础医学院（胡友斌，赵 旻）；青岛市妇女儿童医院妇科（胡友斌，韩汶君）
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2013-07-15 发布日期:2013-07-15
  • 通讯作者: 赵 旻

Evaluation of Laparoscopic Myomectomy

HU You-bin，HAN Wen-jun，ZHAO Min   

  1. Wuhan University School of Basic Medical Sciences，Wuhan 430000，China（HU You-bin， ZHAO Min）；Department of Gynecology，Qingdao Women and Children Hospital，Qingdao 266071，China（HU You-bin，HAN Wen-jun）
  • Received:1900-01-01 Revised:1900-01-01 Published:2013-07-15 Online:2013-07-15
  • Contact: ZHAO Min

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摘要： 子宫肌瘤是女性生殖器官最常见的良性肿瘤，常见于30～50岁女性，近年来随着微创手术技术的发展，腹腔镜下子宫肌瘤剔除术成为治疗子宫肌瘤并保留子宫手术的一种常用术式。其创伤小、术中视野清晰、安全性高和术后康复快等优点已得到普遍认可，但对其手术适应证及术后并发症的防治尚存在争议。近年来国内外的文献报道认为腹腔镜下子宫肌瘤剔除术手术方式选择除了与肌瘤的个数、大小、位置等因素相关外，还与术者操作熟练程度、患者的婚育情况、个人意愿等因素有关，针对其术后可能出现的出血、感染、肌瘤复发、再妊娠子宫破裂等并发症提出了相应的防治措施。

关键词: 平滑肌瘤, 子宫肿瘤, 腹腔镜检查, 治疗

Abstract: Uterine fibroids are the most common benign tumors of the genital tracts in women aged 30 to 50 years. In recent years，laparoscopic myomectomy is widely used with the development of minimally invasive surgical techniques. Laparoscopic myomectomy has been widely recognized as the merits of small wound，clear operative horizion，safe and early recovery，etc. There are still controversies about surgery indications and the prevention of postoperative complications. We reviewed papers pbulished in recent years. It depends on not only the fibroids' number，size，location，but also the surgeon′s operating proficiency，the patient's marriage and wishes，whether laparoscopic myomectomy is preferred. Complications of laparoscopic myomectomy include bleeding，infection，fibroids recurrence，regnancy uterine rupture，etc. In this article，we also raised up some prevention measures.

Key words: Leiomyoma, Uterine neoplasms, Laparoscopy, Therapy