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目的总结腹腔镜子宫切除术治疗子宫腺肌症的临床疗效,探讨其临床治疗特点及预后。方法回顾性分析2004年9月～2008年1月26例腹腔镜子宫全切除术治疗子宫腺肌症的临床资料,总结其手术时间、术中出血量及预后情况。结果腹腔镜子宫切除治疗子宫腺肌症成功率100%,手术时间(144.50±32.25)min,术中出血量(38.50±16.60)mL,术后并发症发生率为19.23%。结论腹腔镜子宫切除术作为子宫腺肌症手术治疗的方法之一,具有创伤小、术野清晰、并发症少、术后康复快等优点,可取得与开腹手术相同的效果。
Objective To summarize the clinical efficacy of laparoscopic hysterectomy for treatment of adenomyosis and to explore its clinical characteristics and prognosis. Methods The clinical data of 26 cases of adenomyosis underwent laparoscopic hysterectomy from September 2004 to January 2008 were retrospectively analyzed. The operation time, intraoperative blood loss and prognosis were summarized. Results The success rate of laparoscopic hysterectomy in treatment of adenomyosis was 100%. The operation time was 144.50 ± 32.25 min. The intraoperative blood loss was (38.50 ± 16.60) mL. The incidence of postoperative complications was 19.23%. Conclusions Laparoscopic hysterectomy is one of the methods for the surgical treatment of adenomyosis. It has the advantages of less trauma, clear operative field, less complications and quick recovery after operation, and can achieve the same effect as open surgery.