腹腔镜全子宫切除术的临床效果分析

Clinical analysis of total laparoscopic hysterectomy

摘要: 目的:探讨腹腔镜全子宫切除术的临床价值。方法:对患有子宫肌瘤、子宫肌腺病、功能失调性子宫出血的68例患者施行腹腔镜全子宫切除术。结果:手术成功66例,中转开腹1例,并发症1例,成功率97%,平均手术时间50~190 min,术中出血量95~265 ml,术后住院3~6天。结论:腹腔镜全子宫切除术创伤小,腹腔干扰轻,恢复快,值得临床推广应用。

Abstract: Objective:To investigate the clinical effect of total laparoscopic hysterectomy.Methods:Total laparoscopic hysterectomy were performed in patients with uterine myoma,adenomyosis and functional uterine bleeding.Results:All the 66 patients were operated successfully,one case was performed conversion to open laparotomy,complication occurred in one case.The success rate was 97%.The mean duration of surgery was 50-190 min,the mean bleeding quantity was 95-265 ml,duration of hospitalization ranged from 3 to 6 days.Conclusions:Total laparoscopic hysterectomy should be applied in clinical extensively,for its small trauma and low abdominal disturbance.