子宫切除术；腹腔镜_____子宫切除术；腹腔镜

两种腹腔镜子宫切除术式探讨

http://www.100md.com 《腹腔镜外科杂志》 2006年第5期

子宫切除术；腹腔镜,,子宫切除术；腹腔镜,1资料与方法,2结果,3讨论,参考文献：

     【摘要】目的：探讨腹腔镜子宫切除的临床应用价值。方法：收集我院腹腔镜筋膜内子宫切除术(CISH组)96例和腹腔镜辅助下阴式子宫切除术(LAVH组)45例患者的临床资料，就术式的选择、并发症和中转开腹的原因进行回顾性分析。结果：CISH组手术成功率885%，11例中转开腹者既往有盆腹腔手术史8例，并发症发生率165%，多发生于开展腹腔镜初期。LAVH组手术成功率956%，6例有盆腹腔手术史，均非子宫手术，无1例发生并发症。结论：腹腔镜子宫切除术具有微创、效优的特点，值得临床推广。根据不同的病情选择合适的手术方式是减少并发症，提高手术安全性的关键。

    【关键词】子宫切除术；腹腔镜

    To explore two operative patterns of laparoscopic hysterectomy

    ZHOU Jing，GUO Huiwen.

    Dept. of Obstetrics and Gynecology,the Fourth Affiliated of Nanchang University,Nanchang 330002,China

    【Abstract】 Objective:To explore the clinical value of two kinds of laparoscopic hysterectomy.Methods:Retrospectively analyzed the data of 96 cases by classical intrafasacial superacervical(CISH group)and 45 cases by laparoscopically assisted vaginal hysterectomy (LAVH group),including operative patterns,complications and cause of converting to open operation.Results:The success rate of CISH group is 88.5%, including 8 cases of 11 cases converting to open operation were previously operated in pelvis or abodomen,and the rate of complications is 16.5%.On the contrary,the success rate of LAVH group is 95.6%,including 6 cases were previously operated not in the uterus but in the pelvis or abodomen and there was no any complication.Conclusions:Laparoscopic hysterectomy is worth spreading because of its minimal invasion.Therefore,the key of decreasing complications is based on selecting of proper operative patterns in view of different situation. ......

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