Abstract：Objective: To analyze the effect of laparoscopic assisted small incision hysteromyomectomy (LAM) in patients with subserosal myoma with diameter with diameter>10cm. Methods: A total of 80 patients with subserosal fibroids with diameter>10cm in our hospital from November 2017 to November 2020 were selected and divided into routine group (39 cases) and observation group (41 cases) with random number table method. The conventional group was treated with traditional open procedure, and the observation group was treated with LAM assisted laparoscopy. The capillary diameter, blood perfusion and blood flow pattern integral of the 2 groups before and 1 and 7 days after surgery were detected. The operative time, intraoperative blood loss, postoperative exhaust time and length of hospital stay of the 2 groups were observed and recorded. The surgical treatment effect and postoperative complications were statistically analyzed. Results: The capillary diameter and blood perfusion of the two groups were lower than those of the two groups at 1 and 7 days after the operation, and the blood flow status and VAS scores were higher than those of the two groups before the operation. The difference was statistically significant (P<0.05); The capillary diameter and blood perfusion of the group were higher than those of the routine group at 1 and 7 days after the operation, and the blood flow status and VAS score were lower than those of the routine group at 1 and 7 days after the operation. The difference was statistically significant (P<0.05). The observation group's postoperative exhaust time, hospitalization length, intraoperative blood loss, postoperative pain disappearance time, and fibroids volume were lower than those of the conventional group, and the operation time and total effective rate of treatment were higher than those of the conventional group. The difference was statistically significant (P<0.05) Conclusion: Laparoscopic assisted LAM has a good therapeutic effect in the treatment of patients with subserosal myoma with diameter>10cm, which effectively alleviates the pain of patients and improves the local microcirculation function and surgical related indicators of patients.
肖冰冰. 腹腔镜下辅助LAM对直径>10cm子宫浆膜下肌瘤患者的效果分析[J]. 河北医学, 2022, 28(1): 91-96.
XIAO Bingbing. Analysis of the Effect of Laparoscopic Assisted Lam on Patients with Uterine Subserosal Myoma with Diameter>10 cm. HeBei Med, 2022, 28(1): 91-96.
2022, Vol. 28 
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