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15～30ml,手术时间1～3h,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.
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, 1 - 3 hours were cost in operation. There was no complication happened, 2 -7 days（ average 4. 3 days） stayed in hospital after operation. Conclusion Hysteromyoma ectomy by laparoscope is a safe and feasible operative manner, few complication happened, and it is a retain uterine operation. Improvement of perioperative nursing promotes postoperative recovery.
出处
《局解手术学杂志》
2006年第4期234-235,共2页
Journal of Regional Anatomy and Operative Surgery
关键词
妇科
腹腔镜
子宫肌瘤剔除术
围手术期护理
gynecology
laparoscope
hysteromyoma ectomy
perioperative nursing
