| 摘要: |
| ［摘要］ 目的 探讨腹腔镜下困难及复杂全子宫切除术的可行性和手术技巧。方法 对129例因子宫>孕12周的子宫肌瘤，子宫内膜异位症，或肌瘤位于阔韧带、子宫峡部、宫颈等原因需切除子宫患者的临床资料进行回顾性分析。结果 125例在腹腔镜下顺利完成手术，手术时间（153±42.7）min，术中出血量（213±65）ml，术后住院时间3～5 d；中转开腹4例，无一例出现大出血及膀胱、输尿管、直肠等器官损伤。结论 困难及复杂的全子宫切除术可在腹腔镜下完成，关键在于术者熟练灵活的操作技术及先进的腹腔镜器械设备。 |
| 关键词: 腹腔镜 全子宫切除术 |
| DOI：10.3969/j.issn.1674-3806.2013.07.20 |
| 分类号:R 616.5 |
| 基金项目: |
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| Difficult and complex laparoscopic hysterectomy: clinical analysis of 129 cases |
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GAN Jing-hua,RUAN He-yun, NONG Wen-zheng
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Department of Gynaecology, Guangxi National Hospital, Nanning 530001,China
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| Abstract: |
| ［Abstract］ Objective To discuss the feasibility and operation skills of difficult and complex laparoscopic hysterectomy.Methods A retrospective analysis of clinical data was performed in 129 patients undergoing laparoscopic hysterectomy because of uterine fibroids with size >12 weeks pregnant uterine,endometriosis, fibroids within the broad ligament, uterine isthmus, and uterine cervix or other reasons for removal of the uterus.Results In 125 patients, the laparoscopic operation were completed successfully， the operation time was (153 ± 42.7)min，the amount of bleeding in operation was (213 ± 65)ml，the postoperative hospital stay was 3～5 d.Four patients were transferred to laparotomy.No massive hemorrhage or injuries in ureter, bladder and rectum were found.Conclusion Difficult and complex hysterectomy can be performed by laparoscope.It is important for the operator to be able to skillfully master the operation techniques and flexibly apply advanced laparoscopic equipment. |
| Key words: Laparoscope Hysterectomy |
