69例宫颈肌瘤的手术途径及术式研究

目的：探讨宫颈平滑肌瘤手术治疗的方式及减少并发症，方法：1987年10月－2000年7月间妇科收治宫颈平滑肌瘤患者69例，根据肌瘤生长方向，大小及患者年龄和对生育的要求等，选择经腹或经阴道途径，采用包膜内操作，分离输尿管，步步止血，关闭瘤窝等操作方法，行全子宫切除术或肌瘤挖队术。结果：经阴道宫颈粘膜下肌瘤摘除术的9例出血少，经腹手术及经阴道手术肌瘤挖除术的60例平均出血314．8ml(100-1100ml)，68例术后恢复良好，1例术后盆腔血肿，结论：宫颈平滑肌瘤的手术方式应因人因肌瘤而异，上述操作能够有效减少并发症。

SURGICAL TREATMENT FOR UTERINE CERVICAL LEIOMYOMA(Report of 69 cases)

Objective Try to find the best surgical treatment for uteri ne cervical leiomyoma and to reduce Complications.Methods Sixty-nine patients with cervical leiomyoma were operated in this department fr om Oct. 1987 to July 2000.Hysterectomy and myomectomy trans-vaginal or trans-a bdominal we re picked according to the position and size of myoma ,patients' age and requi rement for pregnancy. Some skills, such as operating within the myoma capsule, s eparating ureter, completing hemostasis for every step and closing the tumor bed carefully, were used to avoid massive bleeding and complications. Results Nine cases operated with cervical submucous myomectomy had little blood loss. Sixty with hysterectomy or trans-abdominal myomectomy h ad average blood loss of 314.8ml. Six-eight patients had no comlications. One h a d pelvic hematoma. Conclusion The best surgical treatment for u terine cervical leiomyoma should be considered individually