摘要
目的 :探讨妇科腹腔镜的手术指征、手术方式和并发症。方法 :回顾性分析 4 30例妇科腹腔镜手术的指征、术式和并发症。结果 :4 2 7例手术全过程在腹腔镜下完成 ,3例因手术困难中转开腹手术。平均手术时间为 (71.30± 31.5 1)min ,最长 195min ,最短 30min。术中 2 14例病人出血极少 (数滴不足 1ml) ,1～ 5 0ml者 15 9例 ,5 1～ 2 0 0ml者 33例 ,2 0 1～ 2 5 0m1者 2 1例。平均术后住院时间为 (2 .0 8± 1.17)d ,术后病率 2 .1% ,手术并发症发生率 1.86 % ,无远期并发症。结论 :妇科腹腔镜手术创伤少、恢复快、并发症少。手术的成功与术者的经验和技术有关。根据操作难度循序渐进地熟练操作技术 ,以进行相应手术 ,可获满意治疗效果。
Objective:To explore the indication, operative methods and complications of gynecologic laparoscopy. Method:The indication,operative methods and complications of 430 cases of gynecologic laparoscopic surgery were analysed retrospectively. Results:Four handred and twenty-seven cases of the operation were performed by laparoscopy completely, whereas 3 cases were conversed to traditional surgery during the process of laparoscopy because of difficulties. The average operation time is 71.30±31.51 min, (30～195min). There are 214 cases of patients with blood loss less than 1ml, 159 cases with blood loss from 1ml to 50ml, 33 cases with blood loss from 51～200ml, whereas 21 cases with blood loss from 201～250ml. The average stay time in hospital is 2.08± 1.17 days. The incidence of febrile morbidity was 2.1%. Complications occurred in 8 cases, the overall complication rate was 1.86%. There are no long-term complications.Conclusion:The gynecologic laparoscopic surgery had many advantages,such as safety, recover rapidly; less complications. The successful operation was related to the operator's skill and experiences. Mastery of operative laparoscopic techniques step by step along with the degree of surgical difficulty is mandatory, and can delive optimal outcome hopefully.
出处
《中国内镜杂志》
CSCD
2002年第3期42-45,共4页
China Journal of Endoscopy
关键词
腹腔镜
治疗
妇科手术
Laparoscopy
Therapy
Gynecologic Surgery
