Stringer N H
Department of Obstetrics and Gynecology, Rush Medical College, Rush-Presbyterian St. Luke's Medical Center, 1725 West Harrison, Suite 155, Chicago, IL 60612, USA.
J Am Assoc Gynecol Laparosc. 1996 May;3(3):375-81. doi: 10.1016/s1074-3804(96)80067-3.
To evaluate the effectiveness of laparoscopic myomectomy in an ethnic group with a statistically increased frequency of uterine leiomyomata.
Retrospective chart review.
Private practice of one surgeon, and Department of Obstetrics and Gynecology, Rush Medical College, Chicago, Illinois.
Forty-one consecutive African-American women who underwent laparoscopic myomectomy and were followed for 12 to 26 months.
The women received a modified protocol for gonadotropin-releasing hormone agonist treatment before laparoscopic surgery. Laparoscopic myomectomies were performed under general anesthesia using energy sources of monopolar and bipolar electrosurgery and ultrasonic coagulation-cutting (harmonic scalpel).
Seventy percent (70%, 29 women) of procedures were completed on an outpatient basis. Twelve patients were hospitalized for an average of 1.3 days. No significant operative or postoperative complications occurred, and none of the women required blood transfusions or readmission. The conversion rate was zero. Forty patients (91%) reported complete resolution or significant reduction of their symptoms.
Outpatient laparoscopic myomectomy is safe and effective in African-American women with symptomatic uterine leiomyomata of 20 weeks' size or less.
评估腹腔镜子宫肌瘤切除术在子宫肌瘤发病率有统计学意义升高的种族群体中的有效性。
回顾性病历审查。
一位外科医生的私人诊所，以及伊利诺伊州芝加哥拉什医学院妇产科。
41例连续接受腹腔镜子宫肌瘤切除术并随访12至26个月的非裔美国女性。
这些女性在腹腔镜手术前接受了促性腺激素释放激素激动剂治疗的改良方案。腹腔镜子宫肌瘤切除术在全身麻醉下进行，使用单极和双极电外科手术及超声凝血切割（谐波刀）等能量源。
70%（29例女性）的手术在门诊完成。12例患者住院，平均住院1.3天。未发生明显的手术或术后并发症，且无一例女性需要输血或再次入院。中转开腹率为零。40例患者（91%）报告症状完全缓解或显著减轻。
门诊腹腔镜子宫肌瘤切除术对于患有20周大小或更小的有症状子宫肌瘤的非裔美国女性是安全有效的。
