腹腔镜子宫肌瘤切除术与不孕患者的妊娠结局

Laparoscopic myomectomy and pregnancy outcome in infertile patients.

作者信息

Ribeiro S C, Reich H, Rosenberg J, Guglielminetti E, Vidali A

机构信息

College of Physicians and Surgeons of Columbia University, New York, New York, USA.

出版信息

Fertil Steril. 1999 Mar;71(3):571-4. doi: 10.1016/s0015-0282(98)00483-x.

DOI:10.1016/s0015-0282(98)00483-x

PMID:10065802

Abstract

OBJECTIVE

To assess outcomes and pregnancy-related complications after laparoscopic myomectomy in infertile patients.

DESIGN

Retrospective analysis.

SETTING

Tertiary care advanced laparoscopic center.

PATIENT(S): Twenty-eight infertile patients with at least one uterine leiomyoma of >5 cm in diameter.

INTERVENTION(S): Laparoscopic myomectomy.

MAIN OUTCOME MEASURE(S): Occurrence of pregnancy, delivery rate, and pregnancy-related complications.

RESULT(S): The average size of the myomas removed was 6 cm (range, 4-13.3 cm). None of the procedures were converted to laparotomy. The postoperative rate of intrauterine pregnancy was 64.3% (n = 18), including 1 of 2 patients who underwent concomitant hysteroscopic myomectomy. Four patients had spontaneous abortions and 14 delivered viable term neonates. Six women had a vaginal delivery without complications and 8 had a cesarean section. No antepartum or intrapartum complications were reported.

CONCLUSION(S): Laparoscopic myomectomy can be offered to patients who want to have children and who refuse to undergo an abdominal myomectomy. Patient selection as well as meticulous surgical technique are the key factors in achieving a successful outcome.

摘要