摘要
目的探讨腹腔镜子宫切除的临床应用价值。方法收集我院腹腔镜筋膜内子宫切除术(CISH组)75例和腹腔镜辅助下阴式子宫切除术(LAVH组)37例患者的临床资料,就术式的选择、并发症和中转开腹的原因进行回顾性分析。结果CISH组手术成功率88.5%,11例中转开腹者既往有盆腹腔手术史8例,并发症发生率16.5%,多发生于开展腹腔镜初期。LAVH组手术成功率95.6%,6例有盆腹腔手术史,均非子宫手术,无1例发生并发症。结论腹腔镜子宫切除术具有微创、效优的特点,值得临床推广。根据不同的病情选择合适的手术方式是减少并发症,提高手术安全性的关键。
Objective To explore the clinical value of two kinds of laparoscopic hysterectomy. Methods Retrospectively analyzed the data of 75 cases by classical intrafasacial superacervical（CISH group） and 37 cases by laparoscopically assisted vaginalhysterectomy （LAVH group）, including operative patterns, complications and cause of converting to open operation. Results The success rate of CISH group is 89.3%, including 5 cases of 8 cases converting to open operation were previously operated in pelvis or abodomen, and the rate of complications is 14.6%. On the contrary, the success rate of LAVH group is 97.2%, including 5cases were previously operated not in the uterus but in the pelvis or abodomen and therewas no any complication. Conclusions Laparoscopic hysterectomy is worth spredading because of its minimal invasion. Therefore, the key of decreasing complications is based on selecting of proper operative patterns in view of different situation.
出处
《海南医学》
CAS
2007年第11期25-27,共3页
Hainan Medical Journal
