腹腔镜辅助阴式子宫切除术的临床探讨  

Clinical discussion of laparoscopic assisted vaginal hysterectomy

作　　者：周冰琴 

机构地区：[1]四川省营山县人民医院妇产科,四川营山637700

出　　处：《中国当代医药》2012年第10期75-76,共2页China Modern Medicine

摘　　要：目的探讨腹腔镜辅助阴式子宫切除术的临床特点、适应证、并发症及其防治。方法回顾分析2008年3月~2010年9月间本院收治的对无生育要求及盆腔器官脱垂而又有全子宫切除术指征的156例患者行LAVH手术的临床资料。结果 LAVH手术时间一般为60~110min,平均85min。术中出血量60~140mL,22例因肛门排气时间延迟导致腹胀难忍受,经对症处理后恢复良好。术后随访1~1.5年,均无其他并发症出现。结论腹腔镜辅助阴式子宫切除术手术损伤小、术中出血少、住院时间短、术后疼痛轻,排气时间短,发病率低,恢复快,腹壁瘢痕小,是子宫切除术的理想术式。Objective To discuss the clinical characteristics, indications, complications and its prevention of laparoscopic assisted vaginal hysterectomy. Methods The clinical data of 156 cases of patients from March 2008 to September 2010 in our hospital with no fertility requirements and pelvic organ prolapse and hysterectomy indications which done the LAVH operation were retrospectively analysed. Results LAVH operation time were 60-110 minutes in general, with average of 85 minutes. The bleeding intraoperative was 60-140 mL, 22 patients with anal exhaust time delay caused by bloating were treated and recovered well after symptomatic treatment. Postoperative follow-up were 1-1.5 years, no other complications were found. Conclusion Laparoscopic assisted vaginal hysterectomy operation with less injury, less bleeding, shorter hospital stay, less postoperative pain, shorter exhaust time, low incidence, quick recovery, and small abdominal wall scar , it is the ideal method of hysterectomy。

关 键 词：腹腔镜 辅助阴式子宫切除术 子宫切除 适应证 

分 类 号：R713.42[医药卫生—妇产科学]