腹腔镜子宫肌瘤切除术的并发症

Complications in laparoscopic myomectomy.

作者信息

Altgassen C, Kuss S, Berger U, Löning M, Diedrich K, Schneider A

机构信息

Department of Obstetrics and Gynaecology, University of Schleswig-Holstein, Campus Luebeck, Ratzeburger Allee 160, 23538 Luebeck, Germany.

出版信息

Surg Endosc. 2006 Apr;20(4):614-8. doi: 10.1007/s00464-004-2181-8.

DOI:10.1007/s00464-004-2181-8

PMID:16508820

Abstract

BACKGROUND

An increasing number of patients with fibroids wish to retain their uterus without improving fertility. We evaluated the rate of complications in our teaching hospital and its association with patients' age.

METHODS

Chart records of 351 patients were evaluated according to patients' age.

RESULTS

A total of 654 fibroids were removed. Mean size of fibroids was 5.3 cm; mean duration of surgery was 113.2 min. Blood transfusion was necessary in one patient. The intraoperative complication rate was 2.6% and postoperative complications occurred in 5.7% of patients. Sonographic evaluation showed a hyperechogenic scar in 29.2%. A total of 57.1% pregnancies ended in term infants. No uterine rupture was reported. As a sign of contentment, 87% of patients would choose the same procedure again. Indication for myomectomy in elder women was more often associated with uncertain sonographic findings due to intraligamentary localization.

CONCLUSION

Morbidity was low. Age had no impact. Laparoscopic myomectomy can be offered to all women.

摘要

背景

越来越多的子宫肌瘤患者希望保留子宫而不考虑提高生育能力。我们评估了我院教学医院的并发症发生率及其与患者年龄的关系。

方法

根据患者年龄对351例患者的病历记录进行评估。

结果

共切除654个肌瘤。肌瘤平均大小为5.3厘米；平均手术时间为113.2分钟。1例患者需要输血。术中并发症发生率为2.6%，5.7%的患者出现术后并发症。超声检查显示29.2%的患者有高回声瘢痕。共有57.1%的妊娠以足月产告终。未报告子宫破裂情况。作为满意度的一个指标，87%的患者会再次选择相同的手术。老年女性子宫肌瘤切除术的指征更常与因韧带内定位导致的超声检查结果不明确有关。