108例腹腔镜下筋膜内子宫切除术的近远期并发症分析  

Clinical long term and short term complications of classic intrafascial SEMM hysterectomy in 108 cases

作　　者：陈淑琴[1] 张成美[1] 冯丽萍[1] 谢洪哲[1] 姚书忠[1] 

机构地区：[1]中山大学附属第一医院妇产科,广东广州510080

出　　处：《中国内镜杂志》2008年第6期582-585,共4页China Journal of Endoscopy

摘　　要：目的探讨腹腔镜下筋膜内子宫切除术后近远期并发症及防治方法。方法对1999年1月～2002年4月行腹腔镜下筋膜内子宫切除术的108例患者的临床资料进行回顾性分析。患者平均年龄44.98岁(34～50岁),子宫肌瘤78例,子宫腺肌症18例,难治性功能性子宫出血12例。曾有下腹部手术史者23例。结果近期并发症以阴道出血、宫颈残鞘积血为主,远期并发症以宫颈残鞘积液为主。术后92例患者随访:阴道残端出血10.87%(12/108),其中2.17%(2/92)的患者有周期性阴道出血;阴道流液1.09%(1/92);宫颈残鞘积液17.39%(16/92);残端肿块3.26%(3/92);性生活满意率97.65%(83/85)。结论腹腔镜下筋膜内子宫切除术是一种安全、可靠的术式,处理好宫颈残鞘出血是减少该术式并发症的一个重要方法。[Objective] To investigate clinical long term and short term complications of classic intrafascial SEMM hysterectomy (CISH). [Methods] The clinical retrospective study included 108 women who underwent operations from January 1999 to April 2002. All women were subjected to a classic intrafascial SEMM hysterectomy. The average age of the patients was 44.98 years (34~50). Of the 108 cases, 78 had uterine fibroid, 12 had refractory dysfunctional uterine bleeding, 18 had adenomyosis. 23 women underwent lower abd...

关 键 词：全子宫切除术 腹腔镜 并发症 

分 类 号：R713.42[医药卫生—妇产科学]