腹腔镜子宫切除252例临床分析  

Study of the Methods of Laparoscopic Hysterectomy

作　　者：张立杰[1] 张金玲[1] 

机构地区：[1]暨南大学医学院第二附属医院,广东深圳518020

出　　处：《咸宁学院学报（医学版）》2004年第4期269-270,共2页Journal of Xianning Univarsity(medical Sciences)

摘　　要：目的探讨腹腔镜下三种子宫切除术的术式特点及应用效果。方法对 2 5 2例患者分别行腹腔镜下筋膜内子宫全切除术 (LISH)、腹腔镜辅助的阴式子宫切除术 (LAVH)或腹腔镜下全子宫全切除术 (LTH) ,比较三组病人术中、术后情况。结果手术时间、术中出血量LTH组较LISH、LAVH组显著增多 ,术后恢复情况均无差异。结论腹腔镜下筋膜内子宫切除术、腹腔镜辅助阴式子宫切除术和腹腔镜下全子宫切除术都是安全可行的 ,三种术式各有优缺点 ,应根据病人的具体情况选择具体的手术方式。Objective To investigate the clinical value and application effect of 3 different methods of laparoscopic hysterectomy. Methods 252 cases respectively accepted laparoscopic intrafascial supercervical hysterectomy (LISH),laparoscopic-assisted vaginal hysterectomy (LAVH) or laparoscopic total hysterectomy (LTH) and the conditions during and after operation of patients in these three groups were compared.Results The operation′s time and blood loss in LTH were significantly longer/more than in LISH and LAVH.There were no significant difference in recover after operation .Conclusion LISH, LAVH and LTH are all safe and reliable and they may be selected according to patient's individual condition.

关 键 词：腹腔镜 子宫切除术 筋膜内子宫全切除术 阴式子宫切除术 金子宫全切除术 

分 类 号：R713.42[医药卫生—妇产科学]