中国实用妇科与产科杂志

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腹腔镜子宫肌瘤剔除术的相关问题及其处理

王丹丹杨清   

  1. 作者单位:中国医科大学附属盛京医院妇产科,辽宁 沈阳 110004
  • 出版日期:2015-05-02 发布日期:2015-05-13
  • 通讯作者: 杨清

Problems related to laparoscopic myomectomy and their management.

WANG Dan-dan, YANG Qing.   

  1. Department of Obstetrics and Gynecology, Shengjing Hospital of China Medical University,Shenyang 110004, China
  • Online:2015-05-02 Published:2015-05-13

摘要:

腹腔镜子宫肌瘤剔除手术是目前临床上治疗子宫肌瘤最为有效的方法之一,其具有创伤小、失血少、术野清晰、切口美观、术后恢复快等显著优势。但腹腔镜子宫肌瘤剔除术对术者的经验和操作技巧要求较高,且手术本身存在一定局限性,在不断拓宽其临床适应证的同时,临床医师也应重视可能出现的出血、肌瘤遗漏及复发、远期妊娠子宫破裂、潜在的恶性肿瘤扩散与转移等并发症并积极防治。

关键词: 子宫肌瘤, 腹腔镜, 并发症, 处理

Abstract:

Abstract:Laparoscopic myomectomy (LM) has been suggested as one of the effective treatments for patients with symptomatic myomas,being advantageous for limited pain,less blood loss,clear surgical field,cosmesis,faster recovery and so on. Surgeons should be more experienced and skilled to do LM.With the development of techniques, LM has broadened indications and been more widely used clinically. However, at the same time, we should highlight the related complications such as hemorrhage,fibroids missing and recurrence,distant pregnant uterine rupture,latent malignancy implantation and dissemination, and propose strategy for prevention and cure.

Key words: uterine myoma, laparoscope, compications;management

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