宫腔镜联合腹腔镜手术在宫腔内良性病变中的作用  

Combination of hysteroscopic and laparoscopic surgery in uterine cavitary benign lesion

作　　者：许可可 杜敏[1] 秦成路[1] 张娟娟[1] 雷厉秀[1] 

机构地区：[1]广东省深圳市罗湖人民医院妇产科,深圳518001

出　　处：《临床医学》2006年第6期7-8,共2页Clinical Medicine

摘　　要：目的探讨宫腔镜联合腹腔镜手术在治疗子宫腔内良性病变的安全性、可行性及临床效果。方法回顾分析了68例宫腔内良性病变宫腔镜联合腹腔镜手术的临床资料,其中子宫粘膜下肌瘤37例,子宫纵隔18例,子宫粘连12例,双角子宫1例。结果67例行宫腔镜联合腹腔镜手术治疗,1例中转开腹。平均手术时间45m in,平均出血量30m l。结论宫腔镜联合腹腔镜手术提高了宫腔镜治疗宫腔内良性疾病的安全性及有效性,降低了手术风险系数。Objective To investigate the combinated safety, feasibility and clinical effect of hysteroscopic and laparoscopic surgeruy in uterine cavitary benign lesion. Methods Retrospectively analysed the 68 patients with uterine cavitary benign lesion underwent hysteroscopic and laparoscopic surgery, including 37 patients with submucous myoma, 18 patients with uterus septum, 12 patients with adhesions of uterus, and 1 patient with bicornuate uterus. Results Sixty -seven patients underwent hysteroscopic and laparoscopic surgery, 1 patient mids lapara- operation. The average operate time and blood loss were 45min and 30ml respectively. Conclusion The safety and effect can be elevated by using hysteroscopic and laparoscopic surgery in uterine cavitary benign lesion, meanwhile, risk quotient can be depressed.

关 键 词：宫腔镜 腹腔镜 子宫穿孔 宫腔内良性病变 

分 类 号：R713[医药卫生—妇产科学]