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腹腔镜下子宫肌瘤剔除术22例疗效观察及护理
http://www.100md.com 《局解手术学杂志》 2006年第4期
妇科;腹腔镜;子宫肌瘤剔除术;围手术期护理,,],妇科;腹腔镜;子宫肌瘤剔除术;围手术期护理,[摘要],[关键词],1资料与方法,2结果,3讨论,[参
     [摘 要] 目的 探讨腹腔镜下子宫肌瘤剔除术的治疗效果及术后护理要点,为临床子宫肌瘤的治疗及术后护理提供参考依据。方法 回顾性分析22例腹腔镜下子宫肌瘤剔除术治疗效果及护理要点,在腹腔镜下行子宫肌瘤剔除术,其中单发肌瘤8例,多发肌瘤2例。肌瘤中肌壁间肌瘤2例,浆膜下肌瘤7例,阔韧带肌瘤3例,同时做好围手术期护理。结果 22例腹腔镜下子宫肌瘤患者行子宫肌瘤剔除术均获成功,剔除肌瘤17个,肌瘤直径1~9 cm,平均68 cm。术中失血量15~30 ml,手术时间1~3 h,术后无1例并发症发生,术后住院时间2~7 d,平均43 d。结论 腹腔镜下子宫肌瘤剔除术安全可行,住院时间短,术后并发症少,是有效保留子宫的手术。加强围手术期护理是促进术后恢复重要方法。

     [关键词] 妇科;腹腔镜;子宫肌瘤剔除术;围手术期护理

    Curative effect and nursing of hysteromyoma ectomy by laparoscope in 22 cases

    YUAN Jun, WU Xiaoyan (Department of Gynaecology and Obstetrics, The People’s Hospital of Baise, Baise 533000, China)

    Abstract: Objective To explore the curative effect and nursing of hysteromyoma ectomy by laparoscope Methods Respective analysis of 22 casses of hysteromyoma ectomy by laparoscope, including 8 cases of single myoma, 2 cases of multiple muscular tumor Based on pathology classification, 2 cases of intramural myoma, 7 cases of subserous myoma and 3 cases of broad ligament myoma Result All patients succeed in hysteromayoma ectomy, diameter of myoma 1-9 cm, mean 18 cm About 15-30 ml blood losed ......

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