使用“冷”手术器械进行腹腔镜子宫体平滑肌瘤切除术：初步报告
Laparoscopic Myomectomy Using "Cold" Surgical Instruments for Uterine Corpus Leiomyoma: A Preliminary Report.
作者信息
Zhao Xiaofeng, Zeng Wenjie, Chen Liyou, Chen Lifeng, Du Weijie, Yan Xiaojian
机构信息
Department of Gynecology, Zhejiang Provincial People's Hospital, No. 158 Shangtang Rd, Hangzhou, 310004, China.
Department of Gynecology, The First Affiliated Hospital of Wenzhou Medical University, Shangcai Village South, Ouhai District, Wenzhou, 325000, China.
出版信息
Cell Biochem Biophys. 2015 May;72(1):141-6. doi: 10.1007/s12013-014-0425-3.
To assess the feasibility and safety of laparoscopic myomectomy without coagulation for uterine corpus leiomyoma between 4 and 9 cm in diameter with types 2-5. A total of 109 patients with uterine corpus myoma, single or multiple, between 4 and 9 cm in diameter with types from 2 to 5 were included who underwent laparoscopic myomectomy without using any unipolar or bipolar coagulation. Surgery time, intraoperative blood loss, hemoglobin decline on the first day after surgery and average days of post-operative hospitalization were recorded. The mean operative time was 70 ± 25 min (range 35-140 min). Mean blood loss during operation was 138 ml (range 20-400 ml), mean hemoglobin decline on the first day after surgery was 1.5 ± 0.75 g/dl (range 0-3.2 g/dl), and mean hospitalization time was 3.2 days (range 2-6 days). No patient required a blood transfusion. There were no major post-operative complications. Laparoscopic myomectomy without coagulation is feasible and safe for uterine corpus leiomyoma between 4 and 9 cm in diameter with types 2-5.
评估不进行凝血处理的腹腔镜子宫肌瘤切除术治疗直径4至9厘米、2至5型子宫体平滑肌瘤的可行性和安全性。共纳入109例子宫体肌瘤患者，单发或多发，直径4至9厘米，2至5型，均接受了未使用任何单极或双极凝血的腹腔镜子宫肌瘤切除术。记录手术时间、术中失血量、术后第一天血红蛋白下降情况及术后平均住院天数。平均手术时间为70±25分钟（范围35至140分钟）。术中平均失血量为138毫升（范围20至400毫升），术后第一天平均血红蛋白下降1.5±0.75克/分升（范围0至3.2克/分升），平均住院时间为3.2天（范围2至6天）。无患者需要输血。无重大术后并发症。不进行凝血处理的腹腔镜子宫肌瘤切除术治疗直径4至9厘米、2至5型子宫体平滑肌瘤是可行且安全的。
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