腹腔镜筋膜内子宫切除术的临床研究  

The Clinical Study of Pelviscopic Classic Intrafascial SEMM Hysterectomy

作　　者：韦继红 徐建平 李忻琳 吴秀芬 韦天全 李崇珍 唐守玉 

机构地区：[1]广西柳州市妇幼保健院,广西柳州545001

出　　处：《实用妇产科杂志》2003年第1期28-30,共3页Journal of Practical Obstetrics and Gynecology

基　　金：广西省壮族自治区卫生厅医药卫生科研课题 (Z2 0 0 0 0 9)

摘　　要：目的 :探讨腹腔镜筋膜内子宫切除术的临床价值。方法 :将 71例因子宫良性疾病需行子宫切除的患者随机分成两组 ,研究组 4 1例采用腹腔镜筋膜内子宫切除术 (CISH)。对照组 30例 ,采用传统腹式全子宫切除术 (TAH)。结果 :研究组手术成功 4 0例。两组手术时间比较差异无显著性 (P >0 .0 5 )。两组术中出血量、术后病率及术后恢复等差异有显著性 (P <0 .0 5 )。两组均无并发症发生。结论 :腹腔镜筋膜内子宫切除术具有损伤小、出血少、手术时间短、疼痛轻、康复快等优点。经过手术技术改良 ,能顺利进行大子宫的切除。Objective:To investigate the clinical value of pelviscopic classic intrafascial SEMM hysterectomy(CISH).Methods:Seventy one cases of benign uterine diseases were divided into two groups.Forty one cases of CISH which completed successfully compared with thirty cases of total abdominal hysterectomy(TAH).Results:Forty cases of CISH were successfully Completed,including 17 cases of enlarged uterus with the size equivalent to 13～19 gestation week.The average duration of operation of CISH were no significantly longer than those of cases of TAH,( P >0.05).But the blood loss,the postoperative morbidity rate and recovery time of cases of CISH were significantly less than those of TAH( P <0.05).Conclusion:CISH has many advantages,i.e.micro incision,less blood loss,shorter operative time,less pain,quick recovered and fewest complications.After the improvement of CISH technique,CISH may applied complete in cases with large utrus as movea as in TAH.

关 键 词：腹腔镜筋膜内子宫切除术 临床研究 手术方法 CISH 

分 类 号：R713.42[医药卫生—妇产科学]