机器人子宫肌瘤剔除术19例临床分析  

Robot uterine fibroids stripping to the 19 cases of clinical analysis

作　　者：齐金红[1] 袁勇[1] 郭芳芳[1] 

机构地区：[1]吉林省肿瘤医院妇瘤二科,长春130012

出　　处：《中华腔镜外科杂志（电子版）》2015年第6期18-22,共5页Chinese Journal of Laparoscopic Surgery(Electronic Edition)

摘　　要：目的探讨达芬奇机器人手术系统行子宫肌瘤剔除术的安全性与可行性。方法回顾性分析吉林省肿瘤医院2014年10月至2015年10月实施的19例达芬奇机器人手术系统行子宫肌瘤剔除术的治疗效果。结果 19例患者均顺利完成手术,无中转开腹及更改术式。手术时间平均(179.6±67.5)min;术中出血平均(168.4±141.9)ml;与术前是否有轻度贫血无密切相关;术后首次排气时间平均(37.3±12.6)h;术后24 h引流平均(156.3±94.8)ml,引流管留置时间平均(71.6±26.4)h,导尿管留置时间平均(29.7±5.6)h,腹部切口拆线时间平均(137±23.8)h,术后住院时间平均(4.4±1.6)d,均与子宫肌瘤数量及位置正相关,差异有统计学意义(P<0.05)。患者均未出现出血、感染、尿潴留等并发症。结论达芬奇机器人手术系统应用于子宫肌瘤剔除术安全可行,患者创伤小、恢复快,值得临床推广应用。Objective Explore the feasibility and safety of da Vinci robotic surgical system uterine fibroids stripping surgery. Methods Retrospectively reviewed 19 eases of Jilin Province Tumor Hospital Da Vinci robotic surgical system in Oct. 2014 to Oct. 2015 the implementation of the line treatment of uterine fibroids stripping. Results 19 patients were operated successfully completed, no conversion to open surgical procedures and change. The mean operative time （ 179.6 ± 67.5 ） min; mean blood loss （ 168.4 ±141.9） ml, and whether preoperative mild anemia not closely related; exhaust surgery average time （37.3 ± 12.6） h; after 24 hours drainage （156.3 ± 94.8） ml, drainage tube indwelling time （71.6 ± 26.4） b, indwelling catheter time （29.7 ± 5.6） h, the abdominal incision stitches （137 ± 23.8） h, the average postoperative hospital stay （4.4 ± 1.6 ） d, above all positively correlated with the quantity and position of the fibroids, there are statistically significant （ P 〈 0.05 ）. None of the above cases, bleeding, infection, urinary retention and other complications. Conclusions The Da Vinci Surgical System applied to uterine fibroids stripping surgery is feasible and safe, Patient trauma, quicker recovery, worthy of clinical application.

关 键 词：达芬奇机器人手术系统 子宫肌瘤剔除术 

分 类 号：R737.33[医药卫生—肿瘤]