先行结扎子宫动脉在腹腔镜子宫切除术中的应用  

Clinical analysis of uterine artery block before laparoscopic hysterectomy

作　　者：黄宇[1] 

机构地区：[1]四川省医学科学院.四川省人民医院妇产科,四川成都610072

出　　处：《四川医学》2013年第6期768-769,共2页Sichuan Medical Journal

摘　　要：目的探讨输尿管外侧先行结扎子宫动脉在腹腔镜子宫全切除术的临床价值。方法回顾性分析我科2011年6月～2012年6月采用单双极行腹腔镜子宫切除术的患者共80例的临床资料,随机分为观察组(40例,于输尿管外侧先行结扎子宫动脉)和对照组(40例,不预先结扎子宫动脉),比较两组子宫大小、手术时间、术中出血量、手术前后血红蛋白水平差值、术后取尿管时间、肛门排气时间及住院时间等。结果观察组平均手术时间(143.51±39.46)min、术中出血量(86.33±61.35)ml、手术前后平均血红蛋白水平差值(7.08±3.85)g/L均低于对照组(P<0.05);观察组平均子宫大小(12.57±3.81)孕周大于对照组(P<0.05)。结论于输尿管外侧先行结扎子宫动脉在腹腔镜子宫切除术中安全、可行,有利于减少较大子宫宫旁血管的电凝处理,适合在只有单双极腹腔镜器械的基层应用。Objective To investigate the value of uterine artery block before laparoscopic hysterectomy.Methods The clinical and surgical data of laparoscopic hysterectomy by unipolar and bipolar electrocoagulation in 80 cases seen in our hospital between 2011 and 2012 were retrospectively analyzed.They were divided into research group（blocking uterine artery before resecting uterus）,and control group（resecting uterus directly）,40 cases of each group.The uterine size,operative time,blood loss,hemoglobin level difference before and after operation,the removing floey catheter time,the passing flatus time and hospital stay were compared between the two groups.Results The operative time,blood loss and hemoglobin level difference before and after operation in research group were less than those in control group（P0.05）.The uterine size in research group was bigger than that in control group（P0.05）.Conclusion Blocking uterine artery in laparoscopic hysterectomy is safe and feasible,helps to reduce the electrocoagulation treatment of the uterine blood vessels on bigger uterus.It is useful in the primary hospital where the unipolar and bipolar electrocoagulation be used only during the laparoscopic operations.

关 键 词：子宫切除术 腹腔镜 子宫动脉 

分 类 号：R713.42[医药卫生—妇产科学]