腹腔镜下缝扎子宫动脉全子宫切除术50例临床分析  

Laparoscopic uterine artery ligation in total hysterectomy：an analysis of 50 cases

作　　者：方月兰[1] 王敏[1] 薛白[1] 赵萍[1] 

机构地区：[1]宿迁市人民医院妇产科,江苏宿迁223800

出　　处：《徐州医学院学报》2014年第3期192-194,共3页Acta Academiae Medicinae Xuzhou

摘　　要：目的 总结腹腔镜下缝扎子宫动脉全子宫切除术的优点及手术技巧.方法 回顾分析腹腔镜下全子宫切除术50例及同期经腹全子宫切除术58例患者的临床资料,比较2种术式的手术时间、术中出血量、术后发热时间、术后排气时间、术后血红蛋白下降情况、术后住院时间等指标.结果 腹腔镜组50例中49例顺利完成手术,1例子宫腺肌症、双侧卵巢子宫内膜异位囊肿患者手术中处理子宫动脉时中转开腹.腹腔镜组术中出血量、术后发热时间、术后排气时间、术后血红蛋白下降、术后住院时间等,均明显优于经腹手术组（P＜0.05）.2组间手术时间差异无统计学意义（P＞0.05）.结论 腹腔镜下缝扎子宫动脉全子宫切除术安全可行,具有创伤小、出血少、术野清晰、术后恢复快等优点.Abstract： Objective To summarize the advantages and techniques of laparoscopic uterine artery ligation in total hysterectomy. Methods Clinical data from fifty patients receiving total laparoscopic hysterectomy （TLH） and fifty - eight receiving total abdominal hysterectomy （TAH） were reviewed, in order to assess their operation duration, bleeding volume during operation, and duration of fever, evacuation time, decreases in hemoglobin and hospitalization duration af- ter operation. Results Among fifty TLH cases, 49 patients finished the operation, while one patient with adenomyosis and bilateral ovarian endometriosis cyst had to undergo TAH. The TLH group presented remarkably better values in bleeding volume during operation, and duration of fever, evacuation time, decreases in hemoglobin and hospitalization duration after operation （ P 〈 0.05 ）. No statistical difference was found between the two groups as to operation duration （ P 〉 0.05）. Conclusious Laparoscopic uterine artery ligation in total hysterectomy is safe, with advantages like small incision and bleeding volume, clear operational view and that postoperative recovery.

关 键 词：腹腔镜 子宫动脉缝扎 全子宫切除术 

分 类 号：R713.42[医药卫生—妇产科学]