腹腔镜筋膜内子宫切除术72例分析  

作　　者：陈琼 谢黎明 王亚宁 孟中容 

机构地区：重庆市巴南区人民医院,重庆401320

出　　处：《中国保健》2008年第13期358-359,共2页Chinese Health Care

摘　　要：目的：回顾性分析在我院行腹腔镜筋膜内子宫切除术病例，探讨该术式的临床价值。方法：我院自2007年5～12月间进行腹腔镜筋膜内子宫切除术72例，从受术者年龄、子宫大小、手术时间、出血量、住院时间、术后病率及并发症等方面进行统计分析。结果：全部病例均在腹腔镜下完成手术，无一例中转开腹，无一例手术并发症发生。手术时间为58～198min，术中出血量45～85ml，术后3例体温37．5～38．5℃，术后病率占4．17％，术后住院时间4～8d。结论：腹腔镜筋膜内子宫切除术缩短了受术者术后恢复期，术后并发症少，具有微创、效优、出血少的特点，作为子宫良性疾病患者的首选手术方式。Objective：To study the clinical significancy of classic intrafascial supracervical hysterectomy（CISH）, we performed a retrospective evaluation of the patients were treated with this operative technique. Methods： Between May and December 2007,72 women underwent the CISH who were reviewed regarding patients age, uterine size, operation time, blood loss, length of hospital stay, morbidity and complications. Results： Neither conversion nor complications was in all cases. The operation time excluded anesthesia time ranged 58 to 198 minute, the blood loss was from 45ml to 85ml. Three cases temperature followed up to 37.5 -38.5℃ after operation,the morbidity was 4. 17% of all. After surgery the length of hospital stay ranged 4 to 8 days. Conclusion：Which is the first choice of benign uterine disease,the CISH is a minimally invasive,more convenient surgery on hysterectomy with shorter recuperation,less complication and intraoperative bleeding.

关 键 词：腹腔镜 筋膜内子宫切除 

分 类 号：R713.42[医药卫生—妇产科学;医药卫生—临床医学]