Wang C J, Yen C F, Lee C L, Soong Y K
Division of Gynecologic Endoscopy, Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou Medical Center, 5 Fu-Hsin Street, Kwei-Shan Tao-Yuan, Taiwan.
J Am Assoc Gynecol Laparosc. 2000 Nov;7(4):510-4. doi: 10.1016/s1074-3804(05)60364-7.
To evaluate the safety and efficacy of combined laparoscopic and vaginal approach in dealing with uterine myomas.
Retrospective case study (Canadian Task Force classification II-2).
Tertiary care major teaching hospital.
Thirty-one women with symptomatic fundal and/or posterior wall uterine myomas.
Laparoscopic-assisted vaginal myomectomy performed by one of the authors from July 1996 to December 1998.
Mean +/- SD operating time, blood loss, and length of hospital stay were 79.19+/-18.31 minutes, 150.00+/- 103.28 ml, and 3.10+/-0.75 days, respectively. No patients developed serious complications, and only two minor complications occurred.
After laparoscopic inspection and location of uterine myomas, dealing with posterior and fundal uterine myomas by the vaginal route makes hemostasis and uterine repair easier than by purely laparoscopic approach.
评估腹腔镜与阴道联合入路处理子宫肌瘤的安全性和有效性。
回顾性病例研究（加拿大工作组分类II-2）。
三级护理大型教学医院。
31例有症状的子宫底部和/或后壁子宫肌瘤患者。
由作者之一在1996年7月至1998年12月期间实施腹腔镜辅助阴道肌瘤切除术。
平均手术时间（均值±标准差）、失血量和住院时间分别为79.19±18.31分钟、150.00±103.28毫升和3.10±0.75天。无患者发生严重并发症，仅出现2例轻微并发症。
在腹腔镜检查并确定子宫肌瘤位置后，经阴道途径处理子宫后壁和底部肌瘤比单纯腹腔镜手术更易于止血和子宫修复。
