行腹腔镜鞘膜内子宫切除术96例临床分析  

Clinical analysis of 96 cases of classical intrafascial supracevical hysterectomy

作　　者：马红梅 

机构地区：[1]四川省眉山市第三人民医院,620020

出　　处：《中国现代医药杂志》2007年第12期45-47,共3页Modern Medicine Journal of China

摘　　要：目的通过对96例良性子宫病变行腹腔镜鞘膜内子宫切除术(CISH)分析,进一步探讨CISH的适应证和临床应用价值。方法对2005年1月至2007年1月患子宫肌瘤、子宫肌腺病及功能性子宫出血的患者实施腹腔镜鞘膜内子宫切除术共96例,对其临床资料进行分析,根据子宫大小分为两组,1组子宫<孕12周,2组子宫≥孕12周,比较两组患者手术时间、术中出血量、术后发热率、排气时间、术后住院天数等指标。结果96例患者手术全部在腹腔镜下进行,无中转开腹,其中手术时间2组较1组长,差异有显著性(P<0.05)。两组病例的住院时间、术中出血、术后发热率及术后排气时间差异均无显著性(P>0.05)。结论腹腔镜手术是治疗子宫肌瘤、子宫肌腺病及功能性子宫出血的一种较理想的手术方式。Objective To perform further study of classical intrafacial Serum hysterectomy （CISH） indication and clinical application value, 96 instances of innocence metropathy doing classical intrafacial Serum hysterectomy （CISH） were investigated. Methods From January of 2005 to January of 2007 , CISH were carried out for 96 patients suffered from having myoma of uterus,endometriosis interna and functionality metrorrhagia and the clinical data were studied. The patients were divided into two groups according to the womb size. The one was uterus 〈 pregnant 12 weeks, and the other was ≥pregnant 12 weeks. The indexes of operation time,bleed the quantity, have fever the rate, exhaust time after operation and stay in the hospital the day after operation were compared. Results All of 96 patients were operated under laparoscope and did not to turn to open the stomach. The operation time of the second groups was longer than that of the first group （P〈0.05）. The length of stay, bleeding of operation, have fever rate and exhaust time after the surgical operation were no differences for two groups （P〉0.05）. Conclusion CISH is a ideal surgical operation method for treatment of myoma of uterus, endonletriosis interna and functionality metrorrhagia.

关 键 词：腹腔镜 鞘膜内子宫切除术 临床分析 

分 类 号：R713[医药卫生—妇产科学]