腹腔镜较大子宫肌瘤剔除术中原位同步粉碎的应用。
Application of simultaneous morcellation in situ in laparoscopic myomectomy of larger uterine leiomyomas.
机构信息
Department of Gynecology, Qilu Hospital of Shandong University, Jinan, China.
出版信息
Med Princ Pract. 2011;20(5):455-8. doi: 10.1159/000327671. Epub 2011 Jul 11.
OBJECTIVES
To describe the efficiency, blood loss, operating time and mean hospital stay of enucleation of a large myoma by 'simultaneous morcellation in situ' (SMI) in laparoscopic myomectomy (LM).
PATIENTS AND METHODS
Twenty-six patients with leiomyomas >9 cm in diameter were treated using LM and SMI from January 2006 to December 2009. Patient characteristics and operative data were collected and analyzed.
RESULTS
The average operating time was 106.4 ± 38.5 min (range 50-175 min). The average blood loss was 278.2 ± 164.6 ml (range 50-800 ml). There was no other complication, and no patient underwent conversion to laparotomy. The average postoperative hospital stay was 5.4 ± 0.2 days (range 5-7 days).
CONCLUSION
Our study confirmed that SMI is an efficient and safe way to remove large uterine myomas (>9 cm) during LM.
目的
描述腹腔镜子宫肌瘤剔除术中同时原位切碎（SMI）在剔除大肌瘤（>9cm）中的效率、出血量、手术时间和平均住院时间。
患者和方法
2006 年 1 月至 2009 年 12 月，对 26 例直径>9cm 的子宫肌瘤患者采用 LM 和 SMI 进行治疗。收集并分析患者特征和手术数据。
结果
平均手术时间为 106.4±38.5 分钟（范围 50-175 分钟）。平均出血量为 278.2±164.6ml（范围 50-800ml）。无其他并发症，无患者转为开腹手术。平均术后住院时间为 5.4±0.2 天（范围 5-7 天）。
结论
本研究证实，SMI 是一种在 LM 中安全有效地切除大型子宫肌瘤（>9cm）的方法。
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