腹腔镜子宫切除34例临床分析  

ANALYSIS OF 34 CASES OF THE LAPAROSCOPIC HYSTERECTOMY

作　　者：黄云霞[1] 王宪华[2] 陈碧霞[1] 童莉[1] 胡德惠 

机构地区：[1]黔南民族医学高等专科学校附院妇产科,都匀558000 [2]黔南民族医学高等专科学校附院普外科,都匀558000

出　　处：《黔南民族医专学报》1999年第1期19-20,共2页Journal of Qiannan Medical College for Nationalities

摘　　要：目的:探讨腹腔镜下子宫切除的手术方法。方法:选择子宫肌瘤31例及子宫腺肌症3例为手术对象。8例作子宫全切除,26例为子宫次全切除。以电刀凝切方法分离子宫旁韧带,子宫的游离可达Ⅲ～Ⅳ级。结果:31例顺利完成手术,手术成功率91.2％。未发生邻近脏器损伤。结论:腹腔镜子宫切除手术创伤小,但难度较常规开放手术大,预防术中出血与邻近脏器损伤是手术成功的关键。Objective: To explore the ways of Laparoscopic hysterectomy. Methods: To choose 31 cases of womb tumors and 3 cases of womb adenomyoma, 8 cases of complete cutting off. 26 cases of subcomplete cutting off. separaption of ligaments near womb by electrocoagulation. The womb swings from Ⅲ to Ⅳ grade. Results: 31 cases were successfully completed. Rate of success comes to 91.2% Without any damage to visceras nearby. Conclusion: Damages caused by using laparoscopic are less than opening operations. However, it is much more difficult. To prevent blood losing and demage to visceras nearby is the key step.

关 键 词：腹腔镜 手术 子宫 

分 类 号：R713.42[医药卫生—妇产科学]