摘要
目前医学已进入微创时代,在许多同等适应证情况下,经腹手术逐渐被腹腔镜手术替代。妇科腹腔镜手术技术不断完善,涵盖疾病范围扩大,已从单纯检查性腹腔镜发展为治疗性腹腔镜,已成为妇科良性疾病的首选手术方式。子宫切除是妇科最常见的手术方法,主要用于治疗子宫肿瘤、子宫出血等疾病。子宫切除手术的方式已经不再局限于传统的经腹全子宫切除术,腹腔镜下子宫切除术可使患者避免开腹痛苦,在创伤、术后恢复、并发症及临床效果等方面具有明显优势。但随着腹腔镜下子宫切除手术的广泛开展,其局限性亦进一步被大家所认知。通过对比分析,探讨该术式的优势及缺点,为妇科腹腔镜手术的有效开展及全子宫切除术式的合理选择提供可靠的理论依据。
In the era of minimally invasive surgery,laparoscopic surgery has been proven to be a viable alternative under the same operation indications.Although the laparoscopic technology started rather late in China,it develops very quickly.The contraindication of laparoscopy becomes decreasing along with the developing of new techniques and apparatus.With the advanced development of laparoscopic techniques,laparoscopic gynaecological surgery provides a new way for minimally invasive surgery.It is effective,reliable,and valuable in clinical application and has such merits as minimal invasion,rapid recovery and extensive application.Laparoscopic hysterectomy has the characteristics of minimally invasive surgery.The advantages include less trauma,smaller abdominal incision and faster recovery.However,limitations and complications of this methods should not be overlooked,so the selection of the ideal pattern for certain patient is important.This article seeks to illustrate laparoscopic hysterectomy and analyzes the existing problems compared to other ways of hysterectomy,thus providing reliable theoretical basis and a new view for clinical management.
出处
《国际妇产科学杂志》
CAS
2012年第5期421-425,432,共6页
Journal of International Obstetrics and Gynecology
关键词
腹腔镜
子宫切除术
子宫切除术
阴道式
气腹
Laparoscopes
Hysterectomy
Hysterectomy
vaginal
Pneumoperitoneum
