腹腔镜下子宫次全切术20例临床分析  

Evaluation of 20 patients with laparoscopic supracervical hysterectomy

作　　者：韩丽萍[1] 高美[1] 刘艳杰[1] 边爱平[1] 赵倩[1] 李萌萌[1] 

机构地区：[1]郑州大学第一附属医院妇产科,河南郑州450052

出　　处：《中国内镜杂志》2013年第2期174-176,共3页China Journal of Endoscopy

摘　　要：目的探讨腹腔镜子宫次全切术的手术指征、适用范围、手术方法及临床效果。方法回顾性分析该院2011年1月～2011年11月行腹腔镜子宫次全切术20例临床资料。患者平均年龄40岁(34～47岁),术前子宫大于12周者6例,合并贫血、高血压等内科疾病者4例,既往有腹腔镜手术史者4例。结果 20例行腹腔镜下子宫次全切术患者中,无1例中转开腹或死亡,手术时间平均85min(50～140min),术中出血量平均60mL(30～180mL),术后平均住院时间5d(3～7d)。结论腹腔镜下子宫次全切术具有手术时间短、术中出血少、术后并发症少等优点,严格掌握手术适应证、禁忌证及手术技巧,可使得此种术式产生令人较为满意的效果。[Objective] To evaluate the indication, operative technique and clinical results of Laparoscopic Supracervical Hysteretomy （LSH）. [Methods] 20 patients were performed LSH from January 2011 to November 2011 in the First Affiliated Hospital of Zhengzhou University. The mean age was 40 years old, preoperative examination findings showed 6 cases of uterine larger than 12 weeks gestational size, 4 cases with hypertension, heart disease and other disease of internal medicine, 4 cases with a history of laparoscopy. [Results] No patient was switched to laparotomy. Mean operation time was 85 min, the amount of blood loss was 60 mL during operation, and length of hospital stay was 5 days. [Conclusion] LSH is a safe procedure with short operation time, less blood loss and low rate of complications. It has a short operation time and high patient satisfaction. It is the procedure of choice when hysterectomy is indicated for benign disease.

关 键 词：腹腔镜 子宫肌瘤 子宫次全切术 

分 类 号：R713.42[医药卫生—妇产科学]