You Yanqin, Meng Yuanguang, Li Lian, Peng Hongmei, Fan Wensheng, Li Yali
Department of Gynecology and Obstetrics, General Hospital of PLA, Beijing 100853, China. E-mail:
Nan Fang Yi Ke Da Xue Xue Bao. 2013 Aug;33(8):1185-8.
To assess the prognosis and reproductive outcomes of laparoscopic intracapsular myomectomy.
A total of 673 women received subserosal and intramural intracapsular laparoscopic myomectomy between March, 2007 and March, 2012, and their post-operative complications, the need for subsequent surgery, symptomatic relief and reproductive outcomes were analyzed.
Of these patients, 42.4% had subserosal myomas and 57.6% had intramural myomas. The mean total operative time was 96∓41 min with a mean blood loss of 128∓46.2 ml, and 82.3% of the patients were discharged 48 h after the operation without early complications. A small fraction (2.3%) of the patients had a second laparoscopic myomectomy for recurrent fibroids. Of the fertility-demanding women who underwent myomectomy, 71% achieved pregnancy, 49.8% underwent caesarean section, 8% had operative vaginal deliveries, and 42.2% had spontaneous deliveries; uterine rupture occurred in none of the cases.
Laparoscopic intracapsular myomectomy, by preserving the fibroid pseudocapsule and myometrial integrity, has no early postoperative complications and ensures good fertility rates and reproductive outcomes.
评估腹腔镜包膜内子宫肌瘤剔除术的预后及生殖结局。
2007年3月至2012年3月期间，共有673名女性接受了浆膜下和肌壁间包膜内腹腔镜子宫肌瘤剔除术，并对其术后并发症、后续手术需求、症状缓解情况及生殖结局进行了分析。
这些患者中，42.4%患有浆膜下肌瘤，57.6%患有肌壁间肌瘤。平均总手术时间为96±41分钟，平均失血量为128±46.2毫升，82.3%的患者术后48小时出院，无早期并发症。一小部分患者（2.3%）因复发性肌瘤接受了第二次腹腔镜子宫肌瘤剔除术。在接受子宫肌瘤剔除术的有生育需求的女性中，71%成功怀孕，49.8%接受剖宫产，8%通过手术助产分娩，42.2%自然分娩；无一例发生子宫破裂。
腹腔镜包膜内子宫肌瘤剔除术通过保留肌瘤假包膜和子宫肌层完整性，术后无早期并发症，并确保了良好的生育率和生殖结局。
