悬吊式无气腹腹腔镜辅助阴式子宫切除术28例临床分析  

The Clinical Analysis of 28 Cases Undergoing Gasless Laparoscopic Assisted Vaginal Hysterectomy

作　　者：李万珍[1] 

机构地区：[1]成都市第五人民医院妇产科,四川成都610000

出　　处：《医学信息》2012年第9期76-77,共2页Journal of Medical Information

摘　　要：目的探讨悬吊式无气腹腹腔镜辅助阴式子宫切除术的临床应用。方法回顾分析28例患者施行悬吊式无气腹腹腔镜辅助阴式子宫切除术的临床资料。结果28例手术均获得成功，手术时间70~90min，术中出血85~125ml，24h拔出尿管，10~34h肛门排气，术后疼痛轻，术后3～5d出院。无并发痘发生。结论悬吊式无气腹腹腔镜辅助阴式子宫切除手术是一种安全有效的妇科微创手术方法．拓宽了传统腹腔镜辅助阴式子宫切除手术的适应证；其手术操作有一定灵活性，更适合老年人和合并心血管病的不能全麻的患者，具有临床推广价值。Objective The aim of this study was to investigate the clinical value of vaginal hysterectomy assisted by gasless laparoseopy.Methods The clinical data of 28 cases undergoing gasless laparoscopy assisted vaginal hysterectomy were analyzed retrospectively. Results All the 28 cases were successfully performed without complications. The operative time was varied from 70 to 90minutes,; the average intraoperative blood loss was 85 to 125ml; the time of urinary catheter pulling out, anal exsufflation, and discharge from hospital was 24 hours, 10 to 34 hours and 3-5 days after operation respectively. Conclusions gasless laparoscopy assisted vaginal hysterectomy is safe,elective,and minimally invasive for gynecological diseases.The procedure can be used for eldly patients and those who cannot tolerate general anesthesia due to cardiovascular diseases.

关 键 词：无气腹 腹腔镜 阴式子宫切除术 

分 类 号：R713.42[医药卫生—妇产科学]